Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES R FREDERICKS, PHD
Active Sole ProprietorCHARLES R FREDERICKS, PHD is a Clinical Psychologist healthcare provider located in WEST LONG BRANCH, New Jersey. NPI 1902312655 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WEST LONG BRANCH, NJ
Registration Details
- NPI Number
- 1902312655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2017 (8.6391442547304 yrs)
- Last Updated
- Dec 18, 2017
- License
-
35S100267600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1049 BROADWAY STE 2WEST LONG BRANCH, NJ, 077641335Browse NJ providers · Browse ZIP 07764
- Phone
- 7322221100
- Fax
- 7322221103
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in WEST LONG BRANCH, NJ
| Name | Credential | NPI |
|---|---|---|
| GWEN JANAE ZEGESTOWSKY | PSYD | 1992355259 |
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.