Individual
MICHELLE M FUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2059 CALLE LOIZA, SAN JUAN, PR 00911-1733
(787) 200-8684
Mailing address
2010 CALLE ESPANA, OCEAN PARK, SAN JUAN, PR 00911-1430
(787) 727-0538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003066-1
PR
235Z00000X
Speech-Language Pathologist
SA8629
FL
Other
Enumeration date
03/10/2007
Last updated
07/17/2014
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