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Individual

DR. DAVID EUGENE FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1218 5TH AVE, HUNTINGTON, WV 25701-2234
(304) 525-9959
(304) 525-0277
Mailing address
1218 5TH AVE, HUNTINGTON, WV 25701-2234
(304) 525-9959
(304) 525-0277

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
732
WV

Other

Enumeration date
10/09/2005
Last updated
07/21/2022
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