Michelle Elizabeth Fidler, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Plainville, MA

NPI 1982390761 · NPPES record last updated Apr 13, 2023

Key facts

NPI
1982390761
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP100019 (MA)
Practice address
30 Man Mar Dr
Plainville, MA 02762-2271
Phone
(508) 695-6848
NPI assigned
Apr 13, 2023
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 Arts

State licenses

LicenseStateTypeSpecialty
SLP100019MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP100019 MA Yes

Addresses

Primary practice location

30 Man Mar Dr
Plainville, MA 02762-2271

Mailing address

496 Fruit St
Mansfield, MA 02048-3100
Phone (508) 944-3206

Other providers in Plainville, MA

All providers in Plainville, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.