Individual
ABIGAIL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
418 FAIRGROUND RD, NEOSHO, MO 64850-1626
(417) 451-8600
Mailing address
418 FAIRGROUND RD, NEOSHO, MO 64850-1626
(417) 451-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012034291
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012034291
—
MO
Enumeration date
12/07/2020
Last updated
12/07/2020
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