Doctor Name: | MRS. RENEA JUNE FREY |
NPI Number: | 1013045699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC SLP |
License Number: | SP#2115 |
Business Practice Address: | 2808 Fox Meadow Ln Jonesboro, AR - 724049346 |
Business Phone Number: | 8709324245 |
Business Fax Number: | 8709314457 |
Mailing Address: | 602 Stonebridge Dr, JONESBORO |
State: | AR |
Postal Code: | 724016051 |
Phone Number: | 8709340043 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |