DR. FREDRICK BRUCE PACKARD EDD
NPI 1669439626
Psychologist in Snowflake, AZ

Active since April 26, 2006
160 W FISH LN, SNOWFLAKE, AZ 85937(928) 225-9111(928) 366-5988 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fredrick Bruce Packard Edd NPPES

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

DR. FREDRICK BRUCE PACKARD EDD (NPI 1669439626) is an individual psychologist in Snowflake, Arizona, licensed in Arizona (3125) and active in the NPI registry since April 2006. He maintains a secondary practice location in Snowflake.

NPPES Registry Identity

NPI1669439626
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. FREDRICK BRUCE PACKARDCredential: EDD
Location Address160 W FISH LNSnowflake, AZ 85937-5085
Mailing Address160 W Fish LnSnowflake, AZ 85937-5085 · (928) 225-9111 · Fax (928) 774-1148
Fax(928) 366-5988
Sole ProprietorYes
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 9, 2021
NPPES CertifiedMarch 2, 2021
NPI 1669439626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AZ · 3125
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

160 W FISH LN, Snowflake, AZ 85937

Secondary Practice Location 1

Location 1160 W Fish LnSnowflake, AZ 85937-5085 · Phone (928) 225-9111 · Fax (928) 366-5988

Other Identifiers 1

Other3125AZ · License Number

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 Fredrick Packard's NPI number?

The NPI number for Fredrick Packard is 1669439626. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Fredrick Packard located?

Fredrick Packard practices at 160 W Fish Ln, Snowflake, AZ 85937. The listed phone number is (928) 225-9111.

What is Fredrick Packard's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Fredrick Packard was last updated on April 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.