Individual
PAUL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
4340 CATTINGHAM LN, VIRGINIA BEACH, VA 23456-8240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003739
VA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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