Individual
FREDRIC RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
18971 ANTIOCH DRIVE, IRVINE, CA 92603
(949) 679-9749
Mailing address
18971 ANTIOCH DRIVE, IRVINE, CA 92603
(949) 679-9749
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005061-L
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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