Individual
DR. DEIRDRA F FRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT VAMC BLD 200 QUAD 1-A, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT VAMC BLD 200 QUAD 1-A, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
12/07/2012
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