Provider Demographics
NPI:1477329829
Name:AUBURN SPEECH AND APRAXIA LLC
Entity Type:Organization
Organization Name:AUBURN SPEECH AND APRAXIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/DIRECTO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:ALLSUP
Authorized Official - Last Name:FRYER
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:256-366-7871
Mailing Address - Street 1:528 SUNDILLA CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3222
Mailing Address - Country:US
Mailing Address - Phone:256-366-7871
Mailing Address - Fax:
Practice Address - Street 1:528 SUNDILLA CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3222
Practice Address - Country:US
Practice Address - Phone:256-366-7871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty