Individual
BRITTANY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 87TH ST, MARMET, WV 25315-1704
(304) 767-8003
Mailing address
302 87TH ST, MARMET, WV 25315-1704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
BLC1410141
SC
235Z00000X
Speech-Language Pathologist
SLP-1635
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLC1410141
SLP
SC
01
—
SLP-1635
SLP
WV
Enumeration date
11/30/2017
Last updated
11/30/2017
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