| Doctor Name: | MR. MATTHEW S. FREDERICK |
| NPI Number: | 1306142617 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | |
| Business Practice Address: | 575 Beech St Holyoke, MA - 010402223 |
| Business Phone Number: | 4135342508 |
| Business Fax Number: | 4135342565 |
| Mailing Address: | 79 Appleton Rd, AUBURN |
| State: | MA |
| Postal Code: | 015013328 |
| Phone Number: | 5082412072 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2011 |
| NPI Last Update Date: | 02/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |