Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brittany Nicole Fuller, ST

Individual provider Speech-Language Pathologist · NPI 1083126452

Brittany Nicole Fuller, ST is a Speech-Language Pathologist in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
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Practice location Address checks out

1930 E Southern Ave
Tempe, AZ 85282-7518
Phone: (480) 456-0719
Fax: (480) 456-0163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence TSLP10901 (AZ)

Record details

NPI number1083126452
Entity typeIndividual (Type 1)
GenderFemale
Credentials ST
Sole proprietorYes
NPI enumeratedOctober 25, 2017
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020

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