MEDICARE: CHARLOTTE LANGFORD FRITZ 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
1	235Z00000X	Speech-Language Pathologist	7101008314	MI

General Provider Information

NPI Number	:	1447885314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE LANGFORD FRITZ CCC-SLP

Provider Business Mailing Address
First Line	:	4173 NEWGARD DR
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48359-2446
Country	:	US
Telephone Number	:	248-520-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 E OAKLEY PARK RD
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-1500
Country	:	US
Telephone Number	:	248-387-5200
Fax Number	:

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

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	07/12/2023

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Directions to “ CHARLOTTE LANGFORD FRITZ CCC-SLP” Practice Location

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