Provider Demographics
NPI:1013367358
Name:PHETTEPLACE, FRANCES LEE (MS, CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:LEE
Last Name:PHETTEPLACE
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 LEROY BOWEN DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5093
Mailing Address - Country:US
Mailing Address - Phone:434-239-6630
Mailing Address - Fax:434-239-6640
Practice Address - Street 1:101 LEROY BOWEN DR
Practice Address - Street 2:SUITE A
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5093
Practice Address - Country:US
Practice Address - Phone:434-239-6630
Practice Address - Fax:434-239-6640
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13337235Z00000X
VA2202008222235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist