Individual
ANNETTE T. FERTITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
16237 OLD WOOLMARKET ROAD, BILOXI, MS 39532
(228) 596-8972
Mailing address
12357 LUNDY RD, GULFPORT, MS 39503-5233
(228) 596-8972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0711
MS
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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