Provider Demographics
NPI:1679919401
Name:FRETWELL, MERRI PARMLEY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MERRI
Middle Name:PARMLEY
Last Name:FRETWELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 BOTTEMLESS POOLS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE LURE
Mailing Address - State:NC
Mailing Address - Zip Code:28746-5525
Mailing Address - Country:US
Mailing Address - Phone:828-625-9918
Mailing Address - Fax:
Practice Address - Street 1:615 BOTTEMLESS POOLS RD
Practice Address - Street 2:
Practice Address - City:LAKE LURE
Practice Address - State:NC
Practice Address - Zip Code:28746-5525
Practice Address - Country:US
Practice Address - Phone:828-625-9918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist