Healthcare Provider Details

I. General information

NPI: 1548421415
Provider Name (Legal Business Name): PATRICIA FICHTER SP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PUTNAM ST STE 800
MARIETTA OH
45750-3005
US

IV. Provider business mailing address

1120 POLARIS PKWY STE 202
COLUMBUS OH
43240-4042
US

V. Phone/Fax

Practice location:
  • Phone: 740-373-9446
  • Fax: 740-373-7074
Mailing address:
  • Phone: 740-373-9446
  • Fax: 740-373-7074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.0662
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: