MEDICARE: HELEN G FRICKS M.S., 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

General Provider Information

NPI Number	:	1558678045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN G FRICKS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2655 DALLAS HWY SW STE 320
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-7518
Country	:	US
Telephone Number	:	770-428-2112
Fax Number	:	678-384-7495

Provider Business Practice Location Address
First Line	:	2655 DALLAS HWY SW STE 320
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-7518
Country	:	US
Telephone Number	:	770-428-2112
Fax Number	:	678-384-7495

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

Provider Enumeration Date	:	09/07/2010
Last Update Date	:	07/07/2023

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