MS. JENNIFER LOUISE FREDENBURG M.S., CCC-SLP NPI 1093321366

Speech-Language Pathologist in Corte Madera, CA

NPI 1093321366 Individual Female Speech-Language Pathologist

About JENNIFER FREDENBURG

Jennifer Fredenburg is a provider established in Corte Madera, California and her medical specialization is speech-language pathologist. The NPI number of Jennifer Fredenburg is 1093321366 and was assigned on September 2020. The practitioner's primary taxonomy code is 235Z00000X with license number 30530 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

Jennifer Fredenburg is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1093321366

Provider NameMS. JENNIFER LOUISE FREDENBURG M.S., CCC-SLP
Provider Location Address645 TAMALPAIS DR CORTE MADERA, CA 94925
Provider Mailing Address645 TAMALPAIS DR CORTE MADERA, CA 94925
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2020
Last Update Date09-21-2020


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.30530
License StateCA
Taxonomy DescriptionThe 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.

Business Address

MS. JENNIFER LOUISE FREDENBURG M.S., CCC-SLP
645 TAMALPAIS DR
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-2444

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Mailing Address

MS. JENNIFER LOUISE FREDENBURG M.S., CCC-SLP
645 TAMALPAIS DR
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-2444



Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740215557DR. SUZANNE HANSON D.C.
Individual
Chiropractor645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 924-6500
1841305588 DARCY OIKAWA D.C.
Individual
Chiropractor645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 924-6500
1841511599MS. MARTHA G SAUL LMFT
Individual
Marriage & Family Therapist645 TAMALPAIS DR SUITE D
CORTE MADERA, CA 94925
(415) 383-0790
1861784621 JEAN-LOUIS RICHIARDONE MS, L.AC.
Individual
Acupuncturist645 TAMALPAIS DR SUITE D
CORTE MADERA, CA 94925
(415) 236-3993
1033229455SUZANNE B. HANSON DC A CHIROPRACTIC CORPORATION
Organization
Preferred Provider Organization645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 924-6500
1588106942SPORTS MASSAGE MARIN
Organization
Massage Therapist645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 310-0878
1417482084 STEVEN S BORDUNOV DC
Individual
Chiropractor645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 924-6500
1598251159 JESSICA LILIANA QUIROZ ZUNIGA CMT
Individual
Massage Therapist645 TAMALPAIS DR
CORTE MADERA, CA 94925
(415) 342-2570
1790033793 DENISE GENEVIEVE SANTOS FORD CCC - SLP
Individual
Speech-Language Pathologist645 TAMALPAIS DR SUITE E
CORTE MADERA, CA 94925
(415) 924-2444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.