MEDICARE: MRS. ALLISON FLETCHER M.S., CCC-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
1	235Z00000X	Speech-Language Pathologist	11373	OH

General Provider Information

NPI Number	:	1487100855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON FLETCHER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2080 CITYGATE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3591
Country	:	US
Telephone Number	:	614-445-3750
Fax Number	:

Provider Business Practice Location Address
First Line	:	6865 GENDER RD
Second Line	:
City	:	CANAL WNCHSTR
State	:	OH
Zip	:	43110-8282
Country	:	US
Telephone Number	:	614-833-2150
Fax Number	:	614-833-2161

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

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	08/26/2016

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Directions to “ MRS. ALLISON FLETCHER M.S., CCC-SLP” Practice Location

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