FREDERICK HALL

PHOENIX, AZ
NPI1912114729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP4489)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- FREDERICK HALL
1617 S 67TH AVE
PHOENIX, AZ 85043-7717
Phone number: 623-707-2251
Mailing Address
-- FREDERICK HALL
13609 W CARIBBEAN LN
SURPRISE, AZ 85379-8329
Phone number: 623-584-2794