Individual
DR. AMANDA FAE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1666 CONNECTICUT AVE NW, WASHINGTON, DC 20009-1039
(442) 895-1639
Mailing address
1666 CONNECTICUT AVE NW, WASHINGTON, DC 20009-1039
(442) 895-1639
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
2133
AL
103TC1900X
Counseling Psychologist
Primary
PSY200001422
DC
Other
Enumeration date
06/27/2016
Last updated
08/10/2023
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