Individual
MRS. CATHERINE FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
127 OSAGE RD, WAYNE, NJ 07470-5927
(973) 633-9890
Mailing address
127 OSAGE RD, WAYNE, NJ 07470-5927
(973) 633-9890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS00046100
NJ
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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