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NPI Code Detail

MEDICARE: CECILIA J. FRITTS SLP

MEDICARE: CECILIA J. FRITTS SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist104170TX

General Provider Information

NPI Number : 1801049218
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA J. FRITTS SLP
Provider Business Mailing Address
First Line : 384 TREELINE PARK
Second Line : #612
City : SAN ANTONIO
State : TX
Zip : 78209-1889
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1248 AUSTIN HWY STE 210
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4867
Country : US
Telephone Number : 210-646-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2008
Last Update Date : 07/22/2009

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Directions to “ CECILIA J. FRITTS SLP” Practice Location

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