Individual
ANNE FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
2500 POND VW, SUITE 102A, CASTLETON, NY 12033-9750
(518) 477-6072
(518) 477-6074
Mailing address
48 HACKETT AVE, ALBANY, NY 12205-2732
(518) 588-8304
(518) 477-6074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
572990941
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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