Individual
FREDRICK P. FRIEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12695 MCMANUS BLVD., BLDG 8, NEWPORT NEWS, VA 23602-4442
(757) 877-7700
(757) 872-7211
Mailing address
12695 MCMANUS BLVD., BLDG 8, NEWPORT NEWS, VA 23602-4442
(757) 877-7700
(757) 872-7211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77 36 68 1
—
VA
Enumeration date
10/10/2006
Last updated
04/08/2014
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