Individual
DR. REBEKAH LEE FULLER FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 N CHESTNUT ST STE 244, CHAMPAIGN, IL 61820-4856
(217) 621-6180
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008014
IL
Other
Enumeration date
11/16/2010
Last updated
09/08/2016
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