Provider Demographics
NPI:1699090795
Name:FRISBIE, AMY KISSEL (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:KISSEL
Last Name:FRISBIE
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 1:14603 COLUMBINE ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7306
Mailing Address - Country:US
Mailing Address - Phone:720-224-2937
Mailing Address - Fax:
Practice Address - Street 1:14603 COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7306
Practice Address - Country:US
Practice Address - Phone:720-224-2937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist