Individual
ELIZABETH KERN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
888 BONITA AVE, NEW SMYRNA BEACH, FL 32169-4624
(407) 757-6333
Mailing address
888 BONITA AVE, NEW SMYRNA BEACH, FL 32169-4624
(407) 757-6333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022227600
—
FL
01
—
SA16797
DEPARTMENT OF HEALTH
FL
Enumeration date
06/29/2017
Last updated
08/15/2021
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