Individual
DR. DENNIS FRENDRICK FRENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15501 METROPOLITAN PKWY, SUITE 107, CLINTON TOWNSHIP, MI 48036-1684
(586) 226-2822
(586) 226-2833
Mailing address
15501 METROPOLITAN PKWY, SUITE 107, CLINTON TOWNSHIP, MI 48036-1684
(586) 226-2822
(586) 226-2833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680E027030
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
10/04/2006
Last updated
05/23/2012
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