Individual
DR. FRED FRIEDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
187 KENT RD, WARREN, CT 06754-1606
(516) 702-4213
Mailing address
PO BOX 456, KENT, CT 06757-0456
(516) 702-4213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001658
CT
103T00000X
Psychologist
007502
NY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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