NPI 1548823974
Jeri Marlene Fyock, MACCCSLP
Practice location
- Address
- 13300 Hickman Rd STE 110, Clive, IA 50325-8616
- Phone
- (515) 987-8835
- Fax
- (515) 987-4637
- Mailing address
- 912 James Rdg, Creston, IA 50801-1059
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1548823974
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Apr 2019
- Record last updated
- 22 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.