Provider Demographics
NPI:1518026954
Name:THOMPSON FISHER, JULIE MARILYN (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARILYN
Last Name:THOMPSON FISHER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MERRIFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01337-9784
Mailing Address - Country:US
Mailing Address - Phone:413-648-3030
Mailing Address - Fax:603-357-9267
Practice Address - Street 1:117 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3747
Practice Address - Country:US
Practice Address - Phone:603-354-6673
Practice Address - Fax:603-357-9267
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA521231H00000X
MA807231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist