Doctor Name: | MS. KATE FREDRICKSON |
NPI Number: | 1427362912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP-C.FY |
License Number: | 013358 |
Business Practice Address: | 5353 Columbus St. Se Albany, OR - 97322 |
Business Phone Number: | 5419285152 |
Business Fax Number: | 5419266078 |
Mailing Address: | 4560 Se International Way, Ste. 100 MILWAUKIE |
State: | OR |
Postal Code: | 97222 |
Phone Number: | 9712065200 |
Fax Number: | 9712066203 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |