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NPI Code Detail

MEDICARE: ELISA CRISTINA FULPER SLP

MEDICARE: ELISA CRISTINA FULPER SLP
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
1235Z00000XSpeech-Language Pathologist7152001421MI

General Provider Information

NPI Number : 1619802055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA CRISTINA FULPER SLP
Provider Business Mailing Address
First Line : 3267 MAY APPLE CT
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9061
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 36475 FIVE MILE RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-1971
Country : US
Telephone Number : 734-655-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ ELISA CRISTINA FULPER SLP” Practice Location

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