| Doctor Name: | ANNE FETHERSTON |
| NPI Number: | 1285981084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 00283623 |
| Business Practice Address: | 42 Delsea Dr S Glassboro, NJ - 080282621 |
| Business Phone Number: | 8568818689 |
| Business Fax Number: | |
| Mailing Address: | 42 Delsea Dr S, 42 South Delsea Dr GLASSBORO |
| State: | NJ |
| Postal Code: | 080282621 |
| Phone Number: | 8568818689 |
| Fax Number: | |
| NPI Enumeration Date: | 08/10/2012 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 00283623 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| 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 |