Individual
ERIN TERESE FREDRICK-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PSYD, LP
Contact information
Practice address
2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1052
(952) 993-6200
Mailing address
2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1052
(952) 993-6200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6034
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2013
Last updated
06/10/2019
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