Traci B Fredman (NPI# 1235387184, PAC ID# 4789986464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1235387184 |
| PAC ID by PECOS | 4789986464 |
| Professional Enrollment ID | I20160112002862 |
| Full Name | Traci B Fredman |
| Organization Legal Name | WEST TEXAS AANDM UNIVERSITY |
| Address |
4400 S Washington St Suite 107 Amarillo TX 79110-2052 |
| Phone Number | 8066514100 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 5092771618 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4400 S Washington St, Suite 107, Amarillo, TX 79110-2052 | 8066514100 | WEST TEXAS AANDM UNIVERSITY |
| Organization Legal Name | WEST TEXAS AANDM UNIVERSITY |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda F Cross | Qualified Audiologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Zeth E Collom | Qualified Speech Language Pathologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Morgan Taylor Brown | Qualified Speech Language Pathologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Phillip B Spencer | Qualified Speech Language Pathologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Lisa A Rollin | Qualified Speech Language Pathologist | West Texas Aandm University | 4400 S Washington St, Suite 107, Amarillo, TX 79110-2052 |
| Darla Jean Marcear | Qualified Speech Language Pathologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Noel F Clifton | Speech Language Pathologist | West Texas Aandm University | 2501 4th Ave, Canyon, TX 79016-0001 |
| Ann S Wallace | Speech Language Pathologist | West Texas Aandm University | 4400 S Washington St, Amarillo, TX 79110-2052 |
| Street Address |
4400 S WASHINGTON ST SUITE 107 |
| City | AMARILLO |
| State | TX |
| Zip | 79110-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Rollin | Qualified Speech Language Pathologist | West Texas Aandm University | 4400 S Washington St, Suite 107, Amarillo, TX 79110-2052 |
| Ann S Wallace | Speech Language Pathologist | West Texas Aandm University | 4400 S Washington St, Amarillo, TX 79110-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Roger Veggeberg | Physical Medicine and Rehabilitation | 5111 Canyon Dr, Amarillo, TX 79110-3037 | |
| Lindsey Joelle Brewer | Nurse Practitioner | Amarillo Stat Care Pllc | 6014 S Western St, Suite 400, Amarillo, TX 79110-3612 |
| Kayla D Mabery | Nurse Practitioner | Amarillo Stat Care Pllc | 6014 S Western St, Suite 400, Amarillo, TX 79110-3612 |
| City | AMARILLO |
| Zip Code | 79110 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | AMARILLO + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Traci B Fredman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.