Individual
MS. ALLISON FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC - SLP
Contact information
Practice address
54 SHARP ST, MILLVILLE, NJ 08332-2444
(856) 327-2700
Mailing address
54 SHARP STREET, MILLVILLE, NJ 08332
(856) 327-2700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00570900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12099500
ASHA
NJ
Enumeration date
05/15/2009
Last updated
05/15/2009
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