Individual
PROF. GEOFFREY VINCENT FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1400 LOCUST ST, UPMC MERCY HOSPITAL/CRS, SPEECH PATHOLOGY DEPT, PITTSBURGH, PA 15219-5114
(412) 651-2346
Mailing address
265 TWIN OAKS DR, WEXFORD, PA 15090-8635
(724) 933-3307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008667
PA
Other
Enumeration date
06/05/2008
Last updated
05/18/2010
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