Organization
FUNDAMENTAL SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSAY VAUGHN FISHER M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(910) 742-0575
Entity
Organization
Contact information
Practice address
218 LONG JOHN SILVER DR, WILMINGTON, NC 28411-9675
(910) 742-0575
(866) 263-4369
Mailing address
218 LONG JOHN SILVER DR, WILMINGTON, NC 28411-9675
(910) 742-0575
(866) 263-4369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6774
NC
Other
Enumeration date
01/26/2013
Last updated
01/30/2013
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