Doctor Name: | MRS. JENNIFER CAROL FRY |
NPI Number: | 1194932848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 613 |
Business Practice Address: | 706 S Main St Berryville, AR - 726164333 |
Business Phone Number: | 8704239246 |
Business Fax Number: | |
Mailing Address: | 161 County Road 9951, GREEN FOREST |
State: | AR |
Postal Code: | 726384022 |
Phone Number: | 8705532284 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 613 |
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 |