Individual
MRS. KATIE FRAGEORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
167 CAROLINE DR, BELLINGHAM, MA 02019-1326
(774) 291-9804
Mailing address
167 CAROLINE DR, BELLINGHAM, MA 02019-1326
(774) 291-9804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620733
TUFTS
MA
01
—
626557
HARVARD PILGRIM
MA
01
—
SG0013
BLUE CROSS BLUE SHIELD
MA
01
—
SL-M21875
MEDICARE B
MA
Enumeration date
10/26/2011
Last updated
03/16/2017
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