NPI 1215591813 · live from the CMS NPI Registry
Tricia Elizabeth Fredrickson
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1215591813, active.
NPI record
| NPI | 1215591813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3065 College Rd, Fairbanks, AK 99709 |
| Practice phone | 907-374-1686 |
| Enumerated | April 29, 2019 |
| Last updated | April 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.