Ellen Fredericks, PHD

NPI #1437260247 in Trenton, Michigan

Provider Information

NPI Number
1437260247
Entity Type
Individual
Name
Ellen Fredericks, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Aug 31, 2006
Last Updated
Oct 30, 2007

Practice Location

Address
1545 KINGSWAY CT
Address 2
SUITE 201A
ZIP Code
48183-1952
Phone
(734) 692-2696

Specialties & Taxonomy Codes

Specialty
Psychologist

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