Doctor Name: | MARY LOUISE FRAZIER |
NPI Number: | 1851325187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | LL00003044 |
Business Practice Address: | 14820 E 4th Ave Spokane Valley, WA - 992162165 |
Business Phone Number: | 5099221644 |
Business Fax Number: | |
Mailing Address: | 3904 E 33rd Ave, SPOKANE |
State: | WA |
Postal Code: | 992235974 |
Phone Number: | 5098798248 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |