Individual
ANNIKA MARIE FAGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1627 PENN AVE APT 705, PITTSBURGH, PA 15222-4353
(484) 538-8657
Mailing address
6952 SUTER RD, COOPERSBURG, PA 18036-1205
(484) 538-8657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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