Charles R Fredericks, PHD
NPI #1902312655 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1902312655
- Entity Type
- Individual
- Name
- Charles R Fredericks, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Dec 18, 2017
- Last Updated
- Dec 18, 2017
Practice Location
- Address
- 1049 BROADWAY STE 2
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1335
- Phone
- (732) 222-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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