Provider Demographics
NPI:1831539212
Name:FRITZ, SETH T (AUD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:T
Last Name:FRITZ
Suffix:
Gender:M
Credentials:AUD
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 1025
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-6025
Mailing Address - Country:US
Mailing Address - Phone:502-868-5617
Mailing Address - Fax:502-570-5610
Practice Address - Street 1:8 LINVILLE DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2128
Practice Address - Country:US
Practice Address - Phone:859-340-1377
Practice Address - Fax:606-759-0122
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0573231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist