Doctor Name: | JENNIFER MARIE FRAZIER |
NPI Number: | 1093914863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/CCC-SLP |
License Number: | A32719 |
Business Practice Address: | 1015 N Garrison Rd Vancouver, WA - 986641313 |
Business Phone Number: | 3606947501 |
Business Fax Number: | |
Mailing Address: | 1015 N. Garrison Road, VANCOUVER |
State: | WA |
Postal Code: | 98664 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | A32719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |