Individual
JENNIFER KRISTEN FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
Mailing address
4177 COUNT FLEET DR, NEWBURGH, IN 47630-2259
(812) 454-1031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007307A
IN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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