Provider Demographics
NPI:1831401652
Name:FISCUS, AMY RENEE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:RENEE
Last Name:FISCUS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10442 LONGLEAF DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-2514
Mailing Address - Country:US
Mailing Address - Phone:720-530-9247
Mailing Address - Fax:
Practice Address - Street 1:10442 LONGLEAF DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-2514
Practice Address - Country:US
Practice Address - Phone:720-530-9247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist