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Individual
MICHAEL FRESE
Active
Individual
MICHAEL FRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSY23493
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23493
CA
103TC0700X
Clinical Psychologist
Primary
PSY23493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY23493
BOARD OF PSYCHOLOGY
CA
Enumeration date
06/28/2010
Last updated
03/16/2025
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