Individual
FREDERICK CHARLES BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1231 NORTH BROAD STREET, 5TH FLOOR, PHILADELPHIA, PA 19122
(215) 627-8671
(215) 763-5774
Mailing address
1231 NORTH BROAD STREET, 5TH FLOOR, PHILADELPHIA, PA 19122
(215) 627-8671
(215) 763-5774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008795L
PA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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