MEDICARE: FREAS SPEECH THERAPY

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	:	1801674650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREAS SPEECH THERAPY

Provider Business Mailing Address
First Line	:	802 MAXALEA CT
Second Line	:
City	:	IDLEWYLDE
State	:	MD
Zip	:	21239-1314
Country	:	US
Telephone Number	:	410-591-6130
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 EAST TOWSONTOWN BLVD
Second Line	:	TERRACE LEVEL
City	:	TOWSON
State	:	MD
Zip	:	21286-2128
Country	:	US
Telephone Number	:	410-424-5946
Fax Number	:	410-769-0602

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	DOROTHY FREAS
Credential	:	M.S., CCC-SLP
Telephone Number	:	410-424-5946

Provider Enumeration Date	:	09/21/2023
Last Update Date	:	09/21/2023

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Directions to “FREAS SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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