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NPI Code Detail

MEDICARE: CLARICE FRIEDRICH CCC-SLP

MEDICARE:   CLARICE  FRIEDRICH  CCC-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 Pathologist30005119NC

General Provider Information

NPI Number : 1083548648
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARICE FRIEDRICH CCC-SLP
Provider Business Mailing Address
First Line : 4601 LAKE BOONE TRL STE 2D
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4601 LAKE BOONE TRL STE 2D
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7503
Country : US
Telephone Number : 734-476-0255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ CLARICE FRIEDRICH CCC-SLP” Practice Location

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