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MAURA FREDRICK M.S. CCC-SLP
NPI 1396224168
Speech-Language Pathologist in Godfrey, IL

Active since August 12, 2018
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035(618) 467-7062 Get Directions Write a Review

NPPES record last updated: August 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maura Fredrick M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURA FREDRICK M.S. CCC-SLP (NPI 1396224168) is an individual speech-language pathologist provider in Godfrey, Illinois, licensed in Illinois (146.014031) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1396224168
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMAURA FREDRICKCredential: M.S. CCC-SLP
Location Address1373 DADRIAN PROFESSIONAL PARKGodfrey, IL 62035-1767
Mailing Address1208 Enos LnGodfrey, IL 62035-1866
Phone(618) 467-7062
Sole ProprietorNo
Enumeration DateAugust 12, 2018
✔ NPI 1396224168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146.014031
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.
1373 DADRIAN PROFESSIONAL PARK, Godfrey, IL 62035
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA TAYLOR
Occupational Therapist
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 643-9790
MISS LINDSAY ANNE HUENEGER COTA/L
Occupational Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 208-2784
CARA LYNN BERNAIX
Physical Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 468-8010
DERRICK BOYD PTA, BS
Physical Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (706) 261-8467
MRS. REBECCA SUE THIEN LPTA
Physical Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 208-2784
JULIE ANN KLINE M.A. CCC-SLP
Speech-Language Pathologist
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 468-8010
EMILY CAROLINE MACIAS COTA/L
Occupational Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 467-7062
KATELYN ELIZABETH VALLOW
Occupational Therapy Assistant
1373 DADRIAN PROFESSIONAL PARK
GODFREY, IL 62035
Madison County (618) 467-7062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maura Fredrick's NPI number?

The NPI number for Maura Fredrick is 1396224168. It was assigned to this individual provider in the NPPES registry on August 12, 2018.

Where is Maura Fredrick located?

Maura Fredrick practices at 1373 Dadrian Professional Park, Godfrey, IL 62035. The listed phone number is (618) 467-7062.

What is Maura Fredrick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Maura Fredrick was last updated on August 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.