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NPI Code Detail

MEDICARE: MRS. LAURA W. FROELICH MS, CCC-SLP

MEDICARE: MRS. LAURA W. FROELICH MS, 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 Pathologist107896TX

General Provider Information

NPI Number : 1831601780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA W. FROELICH MS, CCC-SLP
Provider Business Mailing Address
First Line : 101 E VIENNA DR
Second Line :
City : HUTTO
State : TX
Zip : 78634-3511
Country : US
Telephone Number : 815-546-7339
Fax Number :
Provider Business Practice Location Address
First Line : 2100 E MARTIN LUTHER KING JR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78702-1342
Country : US
Telephone Number : 512-900-7934
Fax Number : 512-900-7954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2017
Last Update Date : 11/01/2017

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