Individual
CARRIE E FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1619 HARDEN BLVD, LAKELAND, FL 33803-1826
(863) 808-1970
Mailing address
1619 HARDEN BLVD, LAKELAND, FL 33803-1826
(863) 808-1790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7712
FL
Other
Enumeration date
01/29/2007
Last updated
10/16/2023
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