Provider Demographics
NPI:1407177504
Name:FRICKEY, CALLIE (BS)
Entity Type:Individual
Prefix:MRS
First Name:CALLIE
Middle Name:
Last Name:FRICKEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:CALLIE
Other - Middle Name:
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1636 TOLEDANO STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-897-2606
Mailing Address - Fax:504-891-6048
Practice Address - Street 1:1636 TOLEDANO STREET
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-897-2606
Practice Address - Fax:504-891-6048
Is Sole Proprietor?:No
Enumeration Date:2010-06-13
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA62662355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant