Individual
FREDERICK A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
169 SOUTH RD, READFIELD, ME 04355-3340
(207) 622-6201
(888) 765-8406
Mailing address
169 SOUTH RD, READFIELD, ME 04355-3340
(207) 662-6201
(888) 765-8406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS858
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018300
ANTHEM
ME
Enumeration date
02/16/2007
Last updated
01/18/2020
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