Doctor Name: | KAREN SINGLETARY-FULLER |
NPI Number: | 1114067626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 7112 |
Business Practice Address: | 4211 Ridge Top Rd Apt 3626 Fairfax, VA - 220301111 |
Business Phone Number: | 7032983421 |
Business Fax Number: | |
Mailing Address: | 4211 Ridge Top Rd Apt 3626, FAIRFAX |
State: | VA |
Postal Code: | 220301111 |
Phone Number: | 7032983421 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7112 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |