IndividualActive
Elizabeth Fuller
NPI 1043746456 · Speech-Language Pathologist · Summit, MS
Provider details
- NPI number
- 1043746456
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4089 (AL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3900
Approximate (ZIP-level) locationGet directions
Mailing address
4109 Hwy 98 W
Summit, MS 39666
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2017-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.