Mallison Fisher, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Madisonville, TX
NPI 1669112694 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1669112694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 116640 (TX)
- Practice address
- 411 E Collard St
Madisonville, TX 77864-3306 - Phone
- (936) 348-2735
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|
| 116640 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 116640 | TX | Yes |
Addresses
Primary practice location
411 E Collard St
Madisonville, TX 77864-3306
Mailing address
4150 Pendleton Dr Apt 1024
Bryan, TX 77802-2628
Phone (704) 239-0328
Other practice location 1
2333 Manor Dr
Bryan, TX 77802-1907
Phone (979) 821-7300
Other providers in Madisonville, TX
- Laquita Clewis
- Tena Measles Crook
- John Edward Deal
- Darren Glenn Dye
- Charlotte Gaye Ellis
- Franklin Healthcare of Madisonville, LLC
- Joe W Franklin
- Theresa Fusaro
- Kelle Dawn Harper
- HCC-Healthcare Properties, LLC
All providers in Madisonville, 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 Mar 29, 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.