Provider Demographics
NPI:1528461381
Name:FRYE, VERONICA LEE (MA, CFY-SLP)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LEE
Last Name:FRYE
Suffix:
Gender:F
Credentials:MA, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-9530
Mailing Address - Country:US
Mailing Address - Phone:352-385-1126
Mailing Address - Fax:
Practice Address - Street 1:255 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-9530
Practice Address - Country:US
Practice Address - Phone:352-385-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF600872885930235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist