Christine Frederick, SLP
Speech-Language Pathologist, in Avondale Estates, GA. Individual provider (NPI-1).
NPI number1407155708
StatusActive
Last updated in NPPESJul 19, 2012
Details
- NPI
- 1407155708
- Entity type
- Individual (NPI-1)
- Name
- Christine Frederick
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2011
- Last updated
- Jul 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP004644 | GA | Yes |
Other names
- Christine Mayle (Other Name)
Practice location
3162 Stratford Green PlAvondale Estates, GA 30002-1341
Phone 770-853-4614
Mailing address
3162 Stratford Green PlAvondale Estates, GA 30002-1341
Phone 770-853-4614
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