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SUE ANN FULLMER M.A.

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1164686036

Individual Registrant:
 SUE ANN FULLMER M.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
65 BILLERBECK ST  NEW OXFORD, PA 17350-9375 US
Tel: 717-718-5800  Fax: --

Contact information for business:
1812 CRESTLYN RD  YORK, PA 17403-4108 US
Tel: 717-846-3310  Fax: --

Registration Information:
NPI: 1164686036
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
PASL002053L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0019320080003PA05




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