Susan Fullerton, SPEECH LANGUAGE PATH

Speech-Language Pathologist · Martinsville, VA

Individual Active NPI

NPI number 1780184523

Practice location

288 Lancer Lane
Martinsville, VA 24112
Phone
(276) 638-1022

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NPI record

NPI
1780184523
Entity type
Individual (Type 1)
Enumeration date
February 19, 2018
Last updated
February 19, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 220203920 VA

Mailing address

161 Holly St
Eden, NC 27288-7678
Phone
(276) 638-1022

About Susan Fullerton

Susan Fullerton, SPEECH LANGUAGE PATH is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 288 Lancer Lane, Martinsville, VA 24112. The NPI number 1780184523 was assigned on February 19, 2018 and the record was last updated on February 19, 2018.

Susan Fullerton lists a license in the registry: #220203920 (VA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susan Fullerton, SPEECH LANGUAGE PATH?

The NPI number is 1780184523.

What is the phone number of Susan Fullerton?

The phone number listed for the practice location is (276) 638-1022.

Where is Susan Fullerton located?

288 Lancer Lane, Martinsville, VA 24112.

What is the taxonomy code for Susan Fullerton?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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