Stephen Fleetwood, SLP
Individual provider Active NPI Speech-Language Pathologist · Nashville, IN
NPI 1770735128 · NPPES record last updated Oct 16, 2008
Key facts
- NPI
- 1770735128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004260A (IN)
- Practice address
- 55 Willow St
Nashville, IN 47448-7013 - Phone
- (812) 988-6666
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004260A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004260A | IN | Yes |
Addresses
Primary practice location
55 Willow St
Nashville, IN 47448-7013
Mailing address
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other providers in Nashville, IN
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- Leah Renee Craig
- Tatiana D. Doran
- Carrie Frances Foley
- Kelly M Freeland
- Marin Garcia
- Gastil Psychology Group LLC
- David J Gerchak
All providers in Nashville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2008. 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.