Healthcare Provider Details

I. General information

NPI: 1235069816
Provider Name (Legal Business Name): JULIA FRIES M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 STOWER LN UNIT 2E
NORWALK OH
44857-2654
US

IV. Provider business mailing address

230 STOWER LN UNIT 2E
NORWALK OH
44857-2654
US

V. Phone/Fax

Practice location:
  • Phone: 419-668-3431
  • Fax: 888-602-1904
Mailing address:
  • Phone: 419-668-3431
  • Fax: 888-602-1904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.16784
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: