DERICK DESHUN FRAZIER


Address: 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047
Phone: 8883810822

DERICK DESHUN FRAZIER (NPI# 1134764491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134764491
Entity Type Individual
Full Name DERICK DESHUN FRAZIER
Practice Address 4500 Satellite Blvd Ste 2250
Duluth
GA 30096-5047
Practice Telephone 8883810822
Enumeration Date 2019-11-11
Last Update Date 2019-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 4500 SATELLITE BLVD STE 2250
City DULUTH
State GA
Zip Code 30096-5047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790209880 Debrienne Robinson Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2017-07-31
1659998995 Sarah Dunbar Boone Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2020-07-02
1538796974 Lisa A Epling Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2020-03-25
1144860834 Luz Yolinette Crespo-soto Occupational Therapist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2020-01-09
1548805302 Alexa Kelly Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2019-11-15
1780244202 Mackenzie W Couch Behavioral Analyst 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2019-06-17
1477112902 Brittany Janowski Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2019-06-09
1760940845 Abbey Taylor Occupational Therapist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2019-03-07
1699242719 Nadia Millsap Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2018-10-26
1760957120 Kahla James Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2018-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497368310 Israel Montano Speech-Language Pathologist 1521 N 9th Ave E, Duluth, MN 55805-1120 2020-08-29
1447873195 Twt Speech Therapy LLC Speech-Language Pathologist 2255 Satellite Blvd Apt A303, Duluth, GA 30097-6245 2020-05-28
1821621889 Ritu Walia Speech-Language Pathologist 1655 Centerview Dr Apt 313, Duluth, GA 30096-8918 2020-02-18
1104464932 Andrea Robinson Speech-Language Pathologist 4500 Satellite Blvd Ste 2500, Duluth, GA 30096-5047 2019-12-11
1841768512 Talitha Mylia Jeffrey Speech-Language Pathologist 1335 Herrington Rd Apt 3322, Duluth, GA 30096-6431 2018-11-10
1790209880 Debrienne Robinson Speech-Language Pathologist 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 2017-07-31
1962924506 Caryn Kaasa Speech-Language Pathologist 5739 Sunburst Dr, Duluth, MN 55810-9552 2017-07-14
1396284246 Valarie Beth Ostrander Speech-Language Pathologist 407 East Second Street, Essentia Health St Mary's Medical Center, Duluth, MN 55805-1950 2017-02-13
1023565603 Elyse Marilee Mccoshen Speech-Language Pathologist Essentia Health St Mary's Medical Center, 407 East Third Street, Duluth, MN 55805-1950 2016-09-01
1073964813 Teressa Haglin Speech-Language Pathologist 208 W Rainbow St, Duluth, MN 55811-2006 2016-06-23
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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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