Provider Demographics
NPI:1992033948
Name:FRITJOFSON, CLAUDIA NICOLINO (SLP, MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:NICOLINO
Last Name:FRITJOFSON
Suffix:
Gender:F
Credentials:SLP, 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:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:EAST BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05649-0352
Mailing Address - Country:US
Mailing Address - Phone:802-476-8929
Mailing Address - Fax:
Practice Address - Street 1:69 LORDS ROAD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VT
Practice Address - Zip Code:05641-9109
Practice Address - Country:US
Practice Address - Phone:802-476-8929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist