Beverly Fredrick

NPI #1245633106 in Calmar, Iowa

Provider Information

NPI Number: 1245633106
Entity Type: Individual
Name: Beverly Fredrick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Oct 6, 2014
Last Updated: Oct 6, 2014

Practice Location

Address: 101 S CHARLES ST
City: Calmar
State: Iowa
ZIP Code: 52132-7858
Phone: (563) 380-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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