Provider Demographics
NPI:1548421415
Name:FICHTER, PATRICIA (SP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:FICHTER
Suffix:
Gender:F
Credentials:SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 POLARIS PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4042
Mailing Address - Country:US
Mailing Address - Phone:740-373-9446
Mailing Address - Fax:740-373-7074
Practice Address - Street 1:200 PUTNAM ST STE 800
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3005
Practice Address - Country:US
Practice Address - Phone:740-373-9446
Practice Address - Fax:740-373-7074
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.0662235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist