Individual
CATHERINE JAYNE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
(562) 864-4560
Mailing address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
(562) 864-4560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
2695
OR
103TC0700X
Clinical Psychologist
Primary
29986
CA
Other
Enumeration date
04/25/2016
Last updated
07/11/2024
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