Individual
MR. FREDERICK STUART INDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S, LPC
Contact information
Practice address
1235 PENN AVE, SUITE 205-206, WYOMISSING, PA 19610-2100
(610) 374-4963
(610) 378-5403
Mailing address
1235 PENN AVE, SUITE 205-206, WYOMISSING, PA 19610-2100
(610) 374-4963
(610) 378-5403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001533
PA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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