Lisa Repaal, - Psychologist in Fort Wayne, IN

Lisa Repaal, is a Psychologist - School based in Fort Wayne, Indiana. Lisa Repaal is licensed to practice in Indiana (license number 1356579) and her current practice location is 13119 Coldwater Rd, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 777-7536.

NPI number for Lisa Repaal is 1750114955 and her current mailing address is 13119 Coldwater Rd, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750114955.

Contact Information

Lisa Repaal,
13119 Coldwater Rd,
Fort Wayne, IN 46845-9631
(317) 777-7536
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Repaal
GenderFemale
SpecialityPsychologist - School
Location13119 Coldwater Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750114955
  • Provider Enumeration Date: 08/22/2024
  • Last Update Date: 08/22/2024

Medical Identifiers

Medical identifiers for Lisa Repaal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750114955NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 1356579 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Repaal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Repaal,
13119 Coldwater Rd,
Fort Wayne, IN 46845-9631

Ph: (260) 637-3155
Lisa Repaal,
13119 Coldwater Rd,
Fort Wayne, IN 46845-9631

Ph: (317) 777-7536

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