Doctor Name: | MARY FISHER |
NPI Number: | 1639373343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13973 |
Business Practice Address: | 3421 W Davis St Ste 210 Conroe, TX - 773041846 |
Business Phone Number: | 9798226467 |
Business Fax Number: | |
Mailing Address: | Po Box 4588, BRYAN |
State: | TX |
Postal Code: | 778054588 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |