Telesha Lee Fricke, MA, CCC-SLP

NPI #1538776430 in Logan, Utah

Provider Information

NPI Number: 1538776430
Entity Type: Individual
Name: Telesha Lee Fricke, MA, CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: MA, CCC-SLP
Enumeration Date: Sep 25, 2020
Last Updated: Sep 25, 2020

Practice Location

Address: 500 E 1400 N
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 716-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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