Susan Fullerton, Speech Language Path
Speech-Language Pathologist, in Martinsville, VA. Individual provider (NPI-1).
NPI number1780184523
StatusActive
Last updated in NPPESFeb 19, 2018
Details
- NPI
- 1780184523
- Entity type
- Individual (NPI-1)
- Name
- Susan Fullerton
- Credential
- Speech Language Path
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2018
- Last updated
- Feb 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 220203920 | VA | Yes |
Practice location
288 Lancer LaneMartinsville, VA 24112
Phone 276-638-1022
Mailing address
161 Holly StEden, NC 27288-7678
Phone 276-638-1022
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All 25 Speech-Language Pathologist providers in Martinsville · All 826 providers in Martinsville
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