DR. Jason R Fredenberg, PSY.D

NPI #1689688285 in Cairo, New York

Provider Information

NPI Number: 1689688285
Entity Type: Individual
Name: DR. Jason R Fredenberg, PSY.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY.D
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 905 GREENE CO OFFICE BLDG
Address 2: GREENE CO MENTAL HEALTH CLINIC
City: Cairo
State: New York
ZIP Code: 12413-2868
Phone: (518) 622-9163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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