Prof David Owen Fetter, is a
Speech-language Pathologist based in Benson, Arizona. Prof David Owen Fetter is licensed to practice in Arizona (license number SLPL5289) and his current practice location is
360 S Patagonia St, Benson, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 586-2213.
NPI number for Prof David Owen Fetter is 1083745517 and his current mailing address is 360 S Patagonia St, Benson, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083745517.
Healthcare Provider's Profile
| Full Name | Prof David Owen Fetter |
|---|
| Gender | Male |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 360 S Patagonia St, Benson, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083745517
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Prof David Owen Fetter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083745517 | NPI | - | NPPES |
| SLPL5289 | Other | AZ | SPEECH PATHOLOGIST LICENS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | SLPL5289 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof David Owen Fetter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Prof David Owen Fetter, 360 S Patagonia St, Benson, AZ 85602-6533 Ph: (520) 586-2213 | Prof David Owen Fetter, 360 S Patagonia St, Benson, AZ 85602-6533 Ph: (520) 586-2213 |
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