Individual
AERICA FREDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
524 E MAIN ST STE 200, RIVERHEAD, NY 11901-2668
(631) 538-0579
Mailing address
42 ROCK CANDY LN, TROY, NY 12182-4321
(518) 522-0193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025800-1
NY
Other
Enumeration date
09/07/2016
Last updated
11/07/2024
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