BEVERLY FREDRICK
NPI 1245633106
Psychologist - Intellectual and Developmental Disabilities in Calmar, IA

Active since October 06, 2014
101 S CHARLES ST, CALMAR, IA 52132(563) 380-9242 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Fredrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY FREDRICK (NPI 1245633106) is an individual intellectual and developmental disabilities provider in Calmar, Iowa and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1245633106
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameBEVERLY FREDRICK
Location Address101 S CHARLES STCalmar, IA 52132-7858
Mailing AddressPo Box 225Decorah, IA 52101-0225 · (563) 380-9242
Sole ProprietorYes
Enumeration DateOctober 6, 2014
NPI 1245633106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
101 S CHARLES ST, Calmar, IA 52132

Other Identifiers 1

MedicaidX000705575IA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Fredrick's NPI number?

The NPI number for Beverly Fredrick is 1245633106. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Beverly Fredrick located?

Beverly Fredrick practices at 101 S Charles St, Calmar, IA 52132. The listed phone number is (563) 380-9242.

What is Beverly Fredrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Beverly Fredrick was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.