MEDICARE: MS. HEATHER JANINE FISCHETTI M.S., CCC-SLP, TSSLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	020425	NY

General Provider Information

NPI Number	:	1578847877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER JANINE FISCHETTI M.S., CCC-SLP, TSSLD

Provider Business Mailing Address
First Line	:	1937 E 28TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2532
Country	:	US
Telephone Number	:	347-248-5889
Fax Number	:

Provider Business Practice Location Address
First Line	:	1937 E 28TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2532
Country	:	US
Telephone Number	:	347-248-5889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2011
Last Update Date	:	11/29/2016

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