Jennifer Noel Frye, SLP

Individual provider Active NPI Speech-Language Pathologist · Surry, ME

NPI 1114239381 · NPPES record last updated Jul 5, 2010

Key facts

NPI
1114239381
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
ST1788 (ME)
Practice address
1372 Newbury Neck Rd
Surry, ME 04684-3819
Phone
(207) 356-8211
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ST1788MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Learning Center, Inc. Speech-Language Pathologist Past Accepting new patients
Elizabeth G. Dyer & Associates, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST1788 ME Yes

Addresses

Primary practice location

1372 Newbury Neck Rd
Surry, ME 04684-3819

Mailing address

120 Elm St Apt 4
Brewer, ME 04412-2500
Phone (207) 356-8211

Other providers in Surry, ME

All providers in Surry, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.