Doctor Name: | JULIE ANNE FRIEDLI |
NPI Number: | 1194199836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 102978 |
Business Practice Address: | 11901 Business Blvd Ste 209 Eagle River, AK - 995777701 |
Business Phone Number: | 9076946002 |
Business Fax Number: | 9076946017 |
Mailing Address: | 20434 Williamsburg Dr, EAGLE RIVER |
State: | AK |
Postal Code: | 995777117 |
Phone Number: | 9076964038 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |