Individual
DEBRA J FRUCHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
75 NEW SCOTLAND AVE, CDPC, ALBANY, NY 12208
(518) 549-6929
Mailing address
23 S MAIN ST, VOORHEESVILLE, NY 12186-9679
(518) 469-2867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015911
NY
103TC2200X
Clinical Child & Adolescent Psychologist
015911-1
NY
103TF0000X
Family Psychologist
015911-1
NY
103TP2701X
Group Psychotherapy Psychologist
015911-1
NY
103TS0200X
School Psychologist
015911-1
NY
Other
Enumeration date
04/02/2007
Last updated
12/08/2016
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