Individual
MRS. RENEA JUNE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC SLP
Contact information
Practice address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Mailing address
602 STONEBRIDGE DR, JONESBORO, AR 72401-6051
(870) 934-0043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2115
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y802
AR BCBS PROVIDER #
AR
Enumeration date
03/02/2007
Last updated
07/09/2007
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