Provider Demographics
NPI:1225707573
Name:FREI, JENNY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:FREI
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 1:4952 CONTENT SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-3711
Mailing Address - Country:US
Mailing Address - Phone:254-217-2674
Mailing Address - Fax:
Practice Address - Street 1:600 ARAPAHO DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-3724
Practice Address - Country:US
Practice Address - Phone:254-215-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist