Mrs Laura Dickerson Fuller, MS, CCC-SLP is a
Speech-language Pathologist based in Timberlake, North Carolina. Mrs Laura Dickerson Fuller is licensed to practice in North Carolina (license number 30002120) and her current practice location is
355 Helena Moriah Rd, Timberlake, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 364-7715.
NPI number for Mrs Laura Dickerson Fuller is 1124974779 and her current mailing address is 304 S Morgan St, Roxboro, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124974779.
Healthcare Provider's Profile
| Full Name | Mrs Laura Dickerson Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 355 Helena Moriah Rd, Timberlake, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124974779
- Provider Enumeration Date: 03/06/2026
- Last Update Date: 03/06/2026
Medical Identifiers
Medical identifiers for Mrs Laura Dickerson Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124974779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 30002120 (North Carolina) | 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. Mrs Laura Dickerson Fuller 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 |
Mrs Laura Dickerson Fuller, MS, CCC-SLP 304 S Morgan St, Roxboro, NC 27573-5245 Ph: () - | Mrs Laura Dickerson Fuller, MS, CCC-SLP 355 Helena Moriah Rd, Timberlake, NC 27583-9542 Ph: (336) 364-7715 |
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