Individual
DR. MARY MARGARET FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
653 WASHINGTON ST, NEW YORK, NY 10014-2865
(212) 741-6817
Mailing address
653 WASHINGTON ST, NEW YORK, NY 10014-2865
(212) 741-6817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7961
NY
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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