Individual
DR. FREDRICA JILL GOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
611 S PALM CANYON DR, SUITE 201, PALM SPRINGS, CA 92264-7213
(760) 416-7899
(760) 416-7786
Mailing address
1835 N. VIA MIRALESTE #1618, PALM SPRINGS, CA 92262
(760) 832-9631
(760) 832-9631
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
13880
CA
103T00000X
Psychologist
Primary
PSY13880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70034F
—
CA
Enumeration date
07/27/2006
Last updated
07/10/2013
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