PAUL B FREDERIKSEN PH.D.
NPI 1568745545
Psychologist - Clinical in Hattiesburg, MS

Q: What is Paul Frederiksen's NPI number?

The NPI number for Paul Frederiksen is 1568745545. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Q: What is Paul Frederiksen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Paul Frederiksen was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 26, 2011

103 SOUTH 19TH AVE, HATTIESBURG, MS 39402(601) 544-4641(601) 582-1602 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Paul B Frederiksen Ph.d. NPPES

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

PAUL B FREDERIKSEN PH.D. (NPI 1568745545) is an individual clinical provider in Hattiesburg, Mississippi, licensed in Mississippi (51 886) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1568745545

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NamePAUL B FREDERIKSENCredential: PH.D.

Location Address103 SOUTH 19TH AVEHattiesburg, MS 39402

Mailing AddressP O Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952

Phone(601) 544-4641

Fax(601) 582-1602

Sole ProprietorNo

Enumeration DateSeptember 26, 2011

✔ NPI 1568745545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MS · 51 886

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

103 SOUTH 19TH AVE, Hattiesburg, MS 39402

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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 Paul Frederiksen's NPI number?

The NPI number for Paul Frederiksen is 1568745545. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Paul Frederiksen located?

Paul Frederiksen practices at 103 South 19th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 544-4641.

What is Paul Frederiksen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Paul Frederiksen was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.