Individual
DR. FREDERIC KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 SALEM GRN, SALEM, MA 01970-3724
(978) 740-3100
(978) 740-3100
Mailing address
1 SALEM GRN, SALEM, MA 01970-3724
(978) 740-3100
(978) 740-3100
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104133
MERIT BEHAVIORAL
MA
01
—
95907
MHN
MA
01
—
IP098621
MAGELLAN
MA
01
—
KRW01832
BLUE CROSS INDIVIDUAL NUM
MA
01
—
W10327
BLUE CROSS GROUP NUMBER
MA
Enumeration date
12/13/2006
Last updated
07/08/2007
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