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NPI Code Detail

MEDICARE: KENDALL FRITSCH CCC-SLP

MEDICARE:   KENDALL  FRITSCH  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 Pathologist107976TX

General Provider Information

NPI Number : 1508273434
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL FRITSCH CCC-SLP
Provider Business Mailing Address
First Line : 2415 PECAN ST W
Second Line : STE.100
City : PFLUGERVILLE
State : TX
Zip : 78660-3669
Country : US
Telephone Number : 512-251-3230
Fax Number : 512-251-8760
Provider Business Practice Location Address
First Line : 2415 PECAN ST W
Second Line : STE.100
City : PFLUGERVILLE
State : TX
Zip : 78660-3669
Country : US
Telephone Number : 512-251-3230
Fax Number : 512-251-8760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2014
Last Update Date : 07/11/2014

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Directions to “ KENDALL FRITSCH CCC-SLP” Practice Location

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