Provider Demographics
NPI:1780038281
Name:FRIZZELL, ANNE-MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE-MARIE
Middle Name:
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 RALEIGH ST APT 230
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1484
Mailing Address - Country:US
Mailing Address - Phone:913-207-8486
Mailing Address - Fax:
Practice Address - Street 1:4629 S HARVARD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2948
Practice Address - Country:US
Practice Address - Phone:918-710-2370
Practice Address - Fax:918-398-7983
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4532235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist