Sally Ann Fetterman, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL002964L Issued in NU

Practice address

9 Bristol Court
The Center for Pediatric Therapy Inc
Wyomissing, PA 19610

Phone

(610) 678-8600

NPI assigned

Dec 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Sally Ann Kissinger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578623823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S MOUNTAIN DRIVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "19608",
            "telephone_number": "610-796-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRISTOL COURT",
            "address_2": "THE CENTER FOR PEDIATRIC THERAPY INC",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-678-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERMAN",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "SL002964L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "KISSINGER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MS CCCSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teodoro Fernandez-Solis, DPM
• Joseph Michael Ferrante, RN
• Khyara Isnnelly Ferreras
• Cynthia P Feryo, PT
• Janice Fetrow-Stewart, MSW, LSW, ACSW
• Fick Hearing Aid Center
• Peter Jude Fick
• Andrew G Fieo, M.D.
• Andrew M Figueroa, M.D.
• Imani M Figueroa

• Speech-Language Pathologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.