Individual
ERIN J FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP MSE CCCSLP
Contact information
Practice address
505 KELLER AVE S, AMERY, WI 54001
(715) 268-6900
(715) 268-6895
Mailing address
505 KELLER AVE S, AMERY, WI 54001
(715) 268-6900
(715) 268-6895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2700154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BL1PA
BC BS OF MN
—
05
—
42581800
—
WI
01
—
4601079
MEDICA INS
—
01
—
HP69968
HEALTH PARTNERS
—
Enumeration date
12/11/2006
Last updated
07/08/2007
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