MEDICARE: MRS. ALLISON FISCHER

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	SA10129	FL

General Provider Information

NPI Number	:	1588823058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON FISCHER

Provider Business Mailing Address
First Line	:	802 SPRING VALLEY RD
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-5821
Country	:	US
Telephone Number	:	727-459-2928
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 SPRING VALLEY RD
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-5821
Country	:	US
Telephone Number	:	727-459-2928
Fax Number	:

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

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	08/20/2014

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