Individual
DR. ALYSSA M FREDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
710 BURBANK ST, BROOMFIELD, CO 80020-1658
(720) 387-8458
Mailing address
2240 N CLAY ST UNIT 502, DENVER, CO 80211-5193
(561) 843-3733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0005180
CO
Other
Enumeration date
05/05/2020
Last updated
06/27/2022
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