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NPI Code Detail

MEDICARE: ANNE MARIE FETICK

MEDICARE: ANNE MARIE FETICK
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 PathologistCOND.20232536-SPOH

General Provider Information

NPI Number : 1336923804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE MARIE FETICK
Provider Business Mailing Address
First Line : 400 N ERIE HWY STE 645
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4641 BACH LN
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-1900
Country : US
Telephone Number : 513-829-0148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2023
Last Update Date : 08/24/2023

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Directions to “ ANNE MARIE FETICK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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