Individual
DR. FREDERICK VERDONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
51 GLASGOW AVE, JAMESTOWN, NY 14701-6413
(716) 664-8611
Mailing address
51 GLASGOW AVE, JAMESTOWN, NY 14701-6413
(716) 664-8611
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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