Individual
MRS. LINDSAY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6057 STRIP AVE NW, NORTH CANTON, OH 44720-9207
(330) 492-8136
Mailing address
9121 DOLPHIN ST SW, BOLIVAR, OH 44612-9634
(330) 705-6575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP.08575
OHIO SPEECH AND HEARING PROFESSIONALS BOARD
OH
Enumeration date
11/22/2022
Last updated
11/22/2022
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