Individual
FREDERICK A ULAM III
Active
Individual
FREDERICK A ULAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PYR0452
MO
103TA0700X
Adult Development & Aging Psychologist
PYR0452
MO
103TB0200X
Cognitive & Behavioral Psychologist
PYR0452
MO
103TC0700X
Clinical Psychologist
Primary
PYR0452
MO
103TC0700X
Clinical Psychologist
R0452
MO
103TR0400X
Rehabilitation Psychologist
PYR0452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495011611
—
MO
01
—
P00174113
RAILROAD MEDICARE
MO
Enumeration date
10/24/2006
Last updated
04/29/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up