Individual
DR. FREDERICK VERDONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011230
NY
103TA0700X
Adult Development & Aging Psychologist
011230
NY
103TB0200X
Cognitive & Behavioral Psychologist
011230
NY
103TC0700X
Clinical Psychologist
011230
NY
103TC1900X
Counseling Psychologist
011230
NY
103TC2200X
Clinical Child & Adolescent Psychologist
011230
NY
103TF0000X
Family Psychologist
011230
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
011230
NY
103TP2701X
Group Psychotherapy Psychologist
011230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02341940
—
NY
Enumeration date
10/31/2005
Last updated
05/05/2014
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