Active NPIIndividual providerSole proprietor

Ryanne Fetzer, MS-CCC

Speech-Language Pathologist, in Forked River, New Jersey

NPI Number1972483642
Practice location
620 Lacey RD Ste 4, Forked River, NJ 08731-2244
Fax
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Last updated
October 24, 2025

Ryanne Fetzer is a Speech-Language Pathologist, based in Forked River, NJ. Ryanne Fetzer practices in Forked River, NJ and has the professional credentials of MS-CCC. The NPI Number for Ryanne Fetzer is 1972483642 and holds a License No. 41YS01343500 (NJ). The current practice location address for Ryanne Fetzer is 620 Lacey RD Ste 4, Forked River, NJ 08731-2244 and can be reached out via phone at 609-200-1118.

Provider Profile Details

NPI Number
1972483642
Provider Name
Ryanne Fetzer
Credential
MS-CCC
Provider Entity Type
Individual
Gender
Female
Address
620 Lacey RD Ste 4, Forked River, NJ 08731-2244
Phone Number
609-200-1118
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2025
Last Update Date
October 24, 2025
Certification Date
September 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
620 Lacey RD Ste 4
Forked River, NJ 08731-2244
Zip
08731-2244
Phone Number
609-200-1118
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
620 Lacey RD Ste 4
Forked River, NJ 08731-2244
City
Forked River
State
NJ
Zip
08731-2244
Phone Number
609-200-1118

License Information

License Number
41YS01343500
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryanne Fetzer, MS-CCC?

The NPI number of Ryanne Fetzer, MS-CCC is 1972483642. It was assigned on September 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Ryanne Fetzer, MS-CCC?

Ryanne Fetzer, MS-CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01343500.

Where does Ryanne Fetzer, MS-CCC practice?

The practice location is 620 Lacey RD Ste 4, Forked River, NJ 08731-2244. The office can be reached at 609-200-1118 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972483642 directly on the NPPES registry website.

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