Individual
MR. JACOB EVAN FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
117 CREST AVE, FLEMINGSBURG, KY 41041-1014
(606) 782-5136
Mailing address
117 CREST AVE, FLEMINGSBURG, KY 41041-1014
(606) 782-5136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4014
KY
Other
Enumeration date
08/24/2010
Last updated
09/09/2015
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