Individual
BRITTANY NICOLE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 299-5857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10901
AZ
Other
Enumeration date
10/25/2017
Last updated
05/26/2020
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