Stacy Elizabeth Fulmer MS, CCC-SLP

NPI 1457508111 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1457508111
Gender Female
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2740 COLLEGE AVE
CONWAY AR, 72034-6141, US
Phone (501) 329-5459
Fax
Business Location
4435 TREE HOUSE DR
CONWAY AR, 72034-8265, US
Phone (501) 336-9956
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number 1066
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According to our database, Stacy Elizabeth Fulmer MS, CCC-SLP NPI is 1457508111, taxonomy code is 235Z00000X and license number is 1066, license state is located at Arkansas. Stacy Elizabeth Fulmer MS, CCC-SLP physically located at 2740 College Ave, Conway AR, 72034-6141. NPI Number Stacy Elizabeth Fulmer MS, CCC-SLP has the Individual type.

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1457508111 NPI number is provided on an as is basis without warranty of any kind. 1457508111 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Elizabeth Fulmer MS, CCC-SLP are for informational purposes only.