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

STACEY ANNE FREDERICK

Active

STACEY ANNE FREDERICK is a Developmental Therapist healthcare provider located in FORT SMITH, Arkansas. NPI 1811421068 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · FORT SMITH, AR

Registration Details

NPI Number
1811421068
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2017 (9.3461096217669 yrs)
Last Updated
Apr 14, 2017

Practice Information

Address
6601 PHOENIX AVE
SUITE B
FORT SMITH, AR, 729035092
Browse AR providers · Browse ZIP 72903
Phone
4797859091
Fax
4797823415
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in FORT SMITH, AR

Name Credential NPI
ELIZABETH JANES 1245482561
KAREN SUE TYLER 1265684575
CYD ANGELA SCOGGINS 1609028901
NORMA JEAN SMITH 1174775225
RICHARD COLIN NEWTON 1588946693
JO BATT 1669845806
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.