Individual
MARY ANN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3401 MAPLE GROVE DR, MADISON, WI 53719-5013
(608) 845-1000
(608) 845-1001
Mailing address
7222 TIMBERWOOD DR, MADISON, WI 53719-5284
(608) 848-7222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1274-154
WI
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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