Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Billy Carl Fuller Jr., CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497388581

Mr. Billy Carl Fuller Jr., CCC-SLP is a Speech-Language Pathologist in Austin, Texas. Practices as a sole proprietor. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

13915 Mopac Service Rd #200
Austin, TX 78728
Phone: (336) 608-2715
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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 13851 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202009409 (VA)

Record details

NPI number1497388581
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 17, 2020
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

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