Individual
MRS. ALITA ANN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3932 N 10TH AVE, PENSACOLA, FL 32503-2807
(850) 434-7755
Mailing address
662 ARAGON ST, PENSACOLA, FL 32502-6198
(850) 324-4838
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA7424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889977100
—
FL
01
—
SA7424
STATE LICENSE #
FL
01
—
Y906N
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/05/2006
Last updated
08/21/2023
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