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Contact Information

ERIN J FREDERICKS, SLP MSE CCCSLP
505 KELLER AVE S
AMERY, WI54001
 Phone: 715-268-6900
 Fax: 715-268-6895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ERIN J FREDERICKS · (Female)

NPI Number 1114087822
Status Active
Credentials SLP MSE CCCSLP
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2700154
  • WI Medicaid 42581800
  • Other 00BL1PA BC BS OF MN
  • Other HP69968 HEALTH PARTNERS
  • Other 4601079 MEDICA INS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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