Traci B. Fredman, MS,CCC-SLP

Speech-Language Pathologist · Canyon, TX

Individual Active NPI

NPI number 1235387184

Practice location

2501 4TH Ave
Canyon, TX 79016-0001
Phone
(806) 651-5101
Fax
(806) 651-5105

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NPI record

NPI
1235387184
Entity type
Individual (Type 1)
Enumeration date
September 4, 2008
Last updated
January 29, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —
Speech-Language Pathologist 235Z00000X 101972 TX

Mailing address

Wtamu Box 60757
Canyon, TX 79016-0001
Phone
(806) 651-5101
Fax
(806) 651-5105

About Traci Fredman

Traci B. Fredman, MS,CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2501 4TH Ave, Canyon, TX 79016-0001. The NPI number 1235387184 was assigned on September 4, 2008 and the record was last updated on January 29, 2016.

Traci Fredman lists a license in the registry: #101972 (TX) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Traci B. Fredman, MS,CCC-SLP?

The NPI number is 1235387184.

What is the phone number of Traci Fredman?

The phone number listed for the practice location is (806) 651-5101.

Where is Traci Fredman located?

2501 4TH Ave, Canyon, TX 79016-0001.

What is the taxonomy code for Traci Fredman?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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