Individual
MS. AMELIA FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, IBCLC
Contact information
Practice address
615 SE HIBISCUS AVE, STUART, FL 34996-3602
(772) 485-4357
(772) 872-5858
Mailing address
615 SE HIBISCUS AVE, STUART, FL 34996-3602
(772) 485-4357
(772) 872-5858
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
FL
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024000
—
FL
01
—
14030798
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
L-111185
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
07/25/2011
Last updated
04/06/2021
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