Christina Marie Frack, M.S., CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Gilbertsville, PA
NPI 1063649986 · NPPES record last updated Jun 18, 2009
Key facts
- NPI
- 1063649986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL008019 (PA)
- Practice address
- 2793 N Charlotte St
Gilbertsville, PA 19525-9719 - Phone
- (610) 772-3532
- NPI assigned
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008019 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008019 | PA | Yes |
Addresses
Primary practice location
2793 N Charlotte St
Gilbertsville, PA 19525-9719
Mailing address
2793 N Charlotte St
Gilbertsville, PA 19525-9719
Phone (610) 772-3532
Other providers in Gilbertsville, PA
- Heath T. Finney
- Jessica Firman
- Lisa S Fogelman
- Forever Young Personal Care
- Forever Young Personal Care
- Freedom Therapies Inc
- Ashley Middleton Fronheiser
- Jomarie Fry
- Sally Gawargious
- Lisa Gennaria
All providers in Gilbertsville, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.