Individual
RYANNE FETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
620 LACEY RD STE 4, FORKED RIVER, NJ 08731-2244
(609) 200-1118
Mailing address
620 LACEY RD STE 4, FORKED RIVER, NJ 08731-2244
(609) 200-1118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01343500
NJ
Other
Enumeration date
09/04/2025
Last updated
10/24/2025
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