Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlie Sandefur Fratt, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1598470072

Carlie Sandefur Fratt, MEDCCC-SLP is a Speech-Language Pathologist in Villa Rica, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

2000 Mirror Lake Blvd Ste T
Villa Rica, GA 30180-2126
Phone: (770) 783-9797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP012134 (GA)

Record details

NPI number1598470072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

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