Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. W TIMM FREDRICKSON, PHD
ActiveDR. W TIMM FREDRICKSON, PHD is a Psychologist healthcare provider located in MEDICAL LAKE, Washington. NPI 1679555411 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1679555411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2005 (20.558024903522 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY00001283 (WA)
Practice Information
- Address
-
800 WEST MAPLE STREETMEDICAL LAKE, WA, 990220800Browse WA providers · Browse ZIP 99022
- Phone
- 5092993121
- Fax
- 5092997015
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in MEDICAL LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. ALTON J COUTURIER | PHD | 1114908449 |
| DR. RANDALL J STRANDQUIST | PSYD | 1932181716 |
| DR. MARSHA H BLASINGAME | PHD | 1861474686 |
| DR. DANIEL J LORD-FLYNN | PHD | 1255313920 |
| DR. TREVOR D TRAVERS | PHD | 1538141148 |
| DR. JOHN J WILLIAMS | PHD | 1619959194 |
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.