Individual
LINDA A. GONDER-FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4TH HOSPITAL DR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5314
(434) 924-1825
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007704836
—
VA
Enumeration date
03/29/2007
Last updated
05/02/2017
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