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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEA FREDERICK, M.S.

Active Sole Proprietor

DEA FREDERICK, M.S. is a Speech, Language and Hearing Specialist healthcare provider located in TICKFAW, Louisiana. NPI 1629558440 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · TICKFAW, LA

Registration Details

NPI Number
1629558440
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2018 (7.9542673972145 yrs)
Last Updated
Aug 21, 2018
License
5413 (LA)
Sole Proprietor
Yes

Practice Information

Address
50274 ANTIOCH RD
TICKFAW, LA, 704661730
Browse LA providers · Browse ZIP 70466
Phone
9853735448
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in TICKFAW, LA

Name Credential NPI
MARY C GENO MS, CCC-SLP 1215665682
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.