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NPI Code Detail

MEDICARE: PHYLLIS FISHER M.S. CCC-SLP

MEDICARE: PHYLLIS FISHER 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
1235Z00000XSpeech-Language Pathologist7168NC

General Provider Information

NPI Number : 1699023424
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHYLLIS FISHER M.S. CCC-SLP
Provider Business Mailing Address
First Line : 930 EASTERN AVE
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1716
Country : US
Telephone Number : 252-459-5220
Fax Number :
Provider Business Practice Location Address
First Line : 930 EASTERN AVE
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1716
Country : US
Telephone Number : 252-459-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 05/29/2026

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Directions to “ PHYLLIS FISHER M.S. CCC-SLP” Practice Location

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