Ellen G. Fredericks Phd., L.p., P.c.

NPI #1932270048 in Trenton, Michigan

Provider Information

NPI Number: 1932270048
Entity Type: Organization
Organization Name: Ellen G. Fredericks Phd., L.p., P.c.
Primary Specialty: Psychologist
Enumeration Date: Nov 11, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 1545 KINGSWAY CT
Address 2: SUITE 201A
City: Trenton
State: Michigan
ZIP Code: 48183-1952
Phone: (734) 692-2696

Authorized Official

Name: ELLEN G. FREDERICKS, PHD
Title: OWNER
Phone: (734) 692-2696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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