Most Relevant Information
Provider Data
| NPI Number: | 1003413949 |
| Provider Name: | SHANNON MARIE FISCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 09262 |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
101 W DEER PARK RD
GAITHERSBURG
MD
208771850
Practice Location Phone/Fax
| Phone: | 3012844150 |
| Fax: |
Provider Mailing Location
850 HUNGERFORD DR
ROCKVILLE
MD
208501718
Provider Mailing Phone/Fax
| Phone: | 2407405500 |
| Fax: |