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Individual

DR. FREDERICK S WECHSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., PSY.D.

Contact information

Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3864
(623) 572-3449
Mailing address
7568 E CAMINO SALIDA DEL SOL, SCOTTSDALE, AZ 85262-4288
(602) 505-4334

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1349
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1349
STATE LICENSE
AZ
Enumeration date
07/03/2007
Last updated
07/08/2007
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