Individual
MERIDITH HOPE FRATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Mailing address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10033356
—
GA
05
—
306025
—
GA
01
—
52143363-002
BLUE CROSS & BLUE SHIELD
GA
01
—
7554700
AETNA
GA
Enumeration date
08/19/2005
Last updated
07/09/2007
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