Individual
GARRY BREDEFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5100 N 6TH ST STE 130, FRESNO, CA 93710-7515
(559) 226-1217
(559) 434-6316
Mailing address
379 E LOYOLA AVE, FRESNO, CA 93720-1641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-9707
CA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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