Brenda Ann Fuselier, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lumberton, TX
NPI 1194486100 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1194486100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 103314 (TX)
- Practice address
- 107 S LHS Dr
Lumberton, TX 77657-8601 - Phone
- (409) 923-7781
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103314 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103314 | TX | Yes |
Addresses
Primary practice location
107 S LHS Dr
Lumberton, TX 77657-8601
Mailing address
363 Tyler Dr
Lumberton, TX 77657-5988
Phone (409) 651-7261
Other providers in Lumberton, TX
- Kenneth Fisher
- Brittani Fisk
- Jordan Nicole Fountain
- Christian M Freeman
- Stephanie Michele Fulbright
- Mason Gatlin
- Gwendolyn Ann Gerber
- Reginald Alvin Goodman
- Emily Gowers
- Sheila Rae Graham
All providers in Lumberton, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.