Individual
PAYTON TAYLOR FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CF-SLP
Contact information
Practice address
1016 ALTAVISTA AVE, CHARLOTTESVILLE, VA 22902-6206
(434) 825-7117
Mailing address
4194 DAUPHIN DR, CHARLOTTESVILLE, VA 22902-9006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001343
VA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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