Doctor Name: | MRS. BRANDY FRALEY |
NPI Number: | 1952768517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A./CCC-SLP |
License Number: | SP.10039 |
Business Practice Address: | 20 W Scioto St Commercial Point, OH - 431169712 |
Business Phone Number: | 7409835000 |
Business Fax Number: | |
Mailing Address: | 2050 Stoneridge Dr, CIRCLEVILLE |
State: | OH |
Postal Code: | 431138954 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2016 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.10039 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |