Fry, Amelia
Fry, Amelia is an sole proprietor health care provider with primary practice located at 615 Se Hibiscus Ave , Stuart FL 34996-3602. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Fry, Amelia can be contacted via phone (772) 485-4357.Contact Information
Primary practice address
615 Se Hibiscus Ave
Stuart FL 34996-3602
Phone: (772) 485-4357
Fax: (772) 872-5858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | Florida | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Florida |
Profile Details
| NPI number | 1275811242 |
|---|---|
| LBN Legal business name | Fry, Amelia |
| Credentials | MS, CCC-SLP, IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Apr 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275811242 | NPPES |
| Other | L-111185 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS | |
| MEDICAID | 004024000 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS | |
| Other | 14030798 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS |
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