Individual
MS. LAURA MARIE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SPED MS CCC-SLP
Contact information
Practice address
7000 W 121ST ST STE 110, LEAWOOD, KS 66209-2011
(913) 912-2174
Mailing address
5251 W 116TH PL STE 200, LEAWOOD, KS 66211-2011
(913) 735-3426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12132558
ASHA
MO
01
—
159PN
BCBSNC
NC
01
—
2008032066
STATE LICENSE
MO
05
—
7413383
—
NC
Enumeration date
08/24/2007
Last updated
08/24/2022
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