Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN FREDRICKSON, PH.D.
ActiveDR. SUSAN FREDRICKSON, PH.D. is a Clinical Psychologist healthcare provider located in TOWAOC, Colorado. NPI 1619305786 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TOWAOC, CO
Registration Details
- NPI Number
- 1619305786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2013 (12.613617524429 yrs)
- Last Updated
- Oct 28, 2013
- License
-
629 (NM)
Practice Information
- Address
-
232 RUSTLING WILLOW ST.UTE MOUNTAIN UTE HEALTH CENTERTOWAOC, CO, 813340049Browse CO providers · Browse ZIP 81334
- Phone
- 9705654441
- Fax
- 9705644784
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.