Provider Demographics
NPI:1407479397
Name:FRYE, NATALIE ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:FRYE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 LOWER WOODVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-5301
Mailing Address - Country:US
Mailing Address - Phone:601-431-0559
Mailing Address - Fax:
Practice Address - Street 1:514 LOWER WOODVILLE RD
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-5301
Practice Address - Country:US
Practice Address - Phone:601-431-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS4275235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist