Elizabeth Fuller
NPI #1043746456 in Summit, Mississippi
Provider Information
- NPI Number
- 1043746456
- Entity Type
- Individual
- Name
- Elizabeth Fuller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 4, 2017
- Last Updated
- May 4, 2017
Practice Location
- Address
- 4109 HIGHWAY 98 W
- City
- Summit
- State
- Mississippi
- ZIP Code
- 39666-9132
- Phone
- (601) 276-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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