MRS. TRACI B FREDMAN


Address: 2501 4th Ave, Canyon, TX 79016-0001
Phone: 8066515101

MRS. TRACI B FREDMAN (NPI# 1235387184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235387184
Entity Type Individual
Full Name MRS. TRACI B FREDMAN
Credential MS,CCC-SLP
Practice Address 2501 4th Ave
Canyon
TX 79016-0001
Mailing Address Wtamu Box 60757
Canyon
TX 79016-0001
Practice Telephone 8066515101
Practice Fax Number 8066515105
Mailing Telephone 8066515101
Mailing Fax Number 8066515105
Enumeration Date 2008-09-04
Last Update Date 2016-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist 101972 TX Speech, Language and Hearing Service Providers

Office Location

Street Address 2501 4TH AVE
City CANYON
State TX
Zip Code 79016-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821469487 Noel Francis Clifton Speech-Language Pathologist 2501 4th Ave, Canyon, TX 79016-0001 2015-10-08
1669881017 Jeffrey Case Specialist/Technologist 2501 4th Ave, Canyon, TX 79016-0001 2014-08-11
1043571938 Leslie W Dalton Jr. Audiologist 2501 4th Ave, Canyon, TX 79016-0001 2012-06-06
1194083311 West Texas A & M University Clinic/Center 2501 4th Ave, Canyon, TX 79016-0001 2012-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912920844 Candy C Marshall Nurse Practitioner 2620 Russell Long Blvd, Canyon, TX 79016 2006-07-25
1811400666 Tracey Dianne Ecklund Student in an Organized Health Care Education/Training Program 2620 Russel Long Blvd, Canyon, TX 79016-0001 2017-11-14
1689014326 Lorna Strong Specialist/Technologist 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 2013-06-26
1790971224 Sally Lynn Gaines Student in an Organized Health Care Education/Training Program West Texas A & M University, Old Main, Room 308-a, Canyon, TX 79016-0001 2007-09-19
1639394984 Robby Douglas Rhodes Specialist/Technologist 60216 Wtamu, Canyon, TX 79016-0001 2007-04-13
1992869929 James Edward Gibbs Family Medicine Student Medical Services, 2620 Russell Long Blvd., Canyon, TX 79016-0001 2006-12-21
1407967599 West Texas A&m University Student Medical Services Clinic/Center 2620 N Russel Long Blvd, Virgil Henson Activities Center Room 104, Canyon, TX 79016-0001 2006-08-31
1245341692 Wendy L Bertram Nurse Practitioner 2620 N. Russell Long Blvd, Canyon, TX 79016-0001 2006-08-31
1376526129 Karen Elizabeth Knapp Nurse Practitioner Wt Box 61401, Canyon, TX 79016-0001 2005-11-25
1912410762 Heather Ann Ferrell Specialist/Technologist 2620 Russel Long Blvd, Canyon, TX 79016-0001 2017-11-14
Find all providers in zip 79016

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689023434 Jessica Carpenter Speech-Language Pathologist 1215 Hillcrest Dr, Canyon, TX 79015-5219 2016-06-11
1821469487 Noel Francis Clifton Speech-Language Pathologist 2501 4th Ave, Canyon, TX 79016-0001 2015-10-08
1013240340 Ann S Wallace Speech-Language Pathologist 2620 Russell Long Blvd, Vhac 242, Dept. of Comm. Dis., Canyon, TX 79016-0001 2009-09-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083430 Laura Gallups Speech-Language Pathologist 25 Leonard Trl, Westworth Village, TX 76114-4037 2020-11-07
1215538509 Laura Langford Smith Speech-Language Pathologist 7309 Janna Dr, Abilene, TX 79606-5323 2020-11-04
1629679725 Haley Brawner Warren Speech-Language Pathologist 5800 Broadway Ste 106, San Antonio, TX 78209-5257 2020-11-04
1639770142 Kaitlyn Hazlewood Speech-Language Pathologist 7204 Ellis Rd, Fort Worth, TX 76112-4302 2020-11-03
1538760137 Stefani Stovall Speech-Language Pathologist 203 Bo Gibbs Blvd, Glen Rose, TX 76043 2020-11-02
1285234971 Hilary Rodriguez Febus Speech-Language Pathologist 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 2020-10-30
1023617511 Samantha Lynne Weston Speech-Language Pathologist 8515 Brodie Lane, Apt 2011, Austin, TX 78745 2020-10-26
1477153815 Into Words Therapy Pllc Speech-Language Pathologist 11501 Oak Knoll Dr, Austin, TX 78759-3802 2020-10-26
1174122618 Thoughtful Slp, Pllc Speech-Language Pathologist 7806 Copperas Dr, Austin, TX 78749-3807 2020-10-24
1194324723 Ashley Panakezham Speech-Language Pathologist 800 Bonaventure Way Ste 147, Sugar Land, TX 77479-8006 2020-10-24
Find all providers with the same taxonomy

Competitor

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City CANYON
Zip Code 79016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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