MEDICARE: MRS. CHRISTINA FRAKES M.S., CF-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
1	235Z00000X	Speech-Language Pathologist	SP#P8981	AR

General Provider Information

NPI Number	:	1295190569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA FRAKES M.S., CF-SLP

Provider Business Mailing Address
First Line	:	5307 JFK BLVD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-6703
Country	:	US
Telephone Number	:	501-392-6102
Fax Number	:

Provider Business Practice Location Address
First Line	:	5307 JFK BLVD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-6703
Country	:	US
Telephone Number	:	501-392-6102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	01/23/2016

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