Individual
MS. DECEMBER FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12770 COIT RD STE 870, DALLAS, TX 75251-1455
(972) 756-0500
Mailing address
4528 NEWCASTLE DR, FRISCO, TX 75034-8403
(817) 680-1388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2355S0801X
Speech-Language Assistant
Primary
35413
TX
Other
Enumeration date
04/07/2016
Last updated
07/20/2021
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