Provider Demographics
NPI:1043201395
Name:FISHER, YONA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:YONA
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22074 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-2124
Mailing Address - Country:US
Mailing Address - Phone:248-349-5950
Mailing Address - Fax:
Practice Address - Street 1:22074 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2124
Practice Address - Country:US
Practice Address - Phone:248-349-5950
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist