Provider Demographics
NPI:1114418621
Name:FRERKER, SCHYLER (CCC, SLP)
Entity Type:Individual
Prefix:
First Name:SCHYLER
Middle Name:
Last Name:FRERKER
Suffix:
Gender:F
Credentials:CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 S JONES BLVD # 6485
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-2623
Mailing Address - Country:US
Mailing Address - Phone:702-582-6762
Mailing Address - Fax:
Practice Address - Street 1:2995 S BRONCO ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5209
Practice Address - Country:US
Practice Address - Phone:702-582-6762
Practice Address - Fax:855-978-1654
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist