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DR. AUDREY MAE FREDERICKSON PSY D
NPI 1689681298
Psychologist - Clinical in Mound, MN

Active since August 03, 2006
5200 MAYWOOD RD, SUITE 202, MOUND, MN 55364(952) 472-2408(952) 495-1409 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Audrey Mae Frederickson Psy D NPPES

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

DR. AUDREY MAE FREDERICKSON PSY D (NPI 1689681298) is an individual clinical provider in Mound, Minnesota, licensed in Minnesota (4856) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1689681298
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AUDREY MAE FREDERICKSONCredential: PSY D
Location Address5200 MAYWOOD RD, SUITE 202Mound, MN 55364-1775
Mailing Address5200 Maywood Rd, Suite 202Mound, MN 55364-1775 · (952) 472-2408 · Fax (952) 495-1409
Phone(952) 472-2408
Fax(952) 495-1409
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateNovember 13, 2009
✔ NPI 1689681298 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 MN · 4856
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.
5200 MAYWOOD RD, Mound, MN 55364
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOJOURN ADULT DAY SERVICES LLC
Clinic/Center (Adult Day Care)
5200 MAYWOOD RD
MOUND, MN 55364
Hennepin County (952) 471-6080
MR. DANIEL PAUL DOSHAN M.A., L.P.
Psychologist
5200 MAYWOOD RD
MOUND, MN 55364
Hennepin County (952) 472-2408
WENDY WRIGHT MATTERA LPC
Counselor (Mental Health)
5200 MAYWOOD RD, SUITE 202
MOUND, MN 55364
Hennepin County (952) 472-2408
JAMES MICHAEL BALDUS PH.D., L.P.
Psychologist
5200 MAYWOOD RD
MOUND, MN 55364
Hennepin County (952) 472-2408
J M BALDUS, INC
Clinic/Center (Adult Mental Health)
5200 MAYWOOD RD
MOUND, MN 55364
Hennepin County (763) 913-6292

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 Audrey Frederickson's NPI number?

The NPI number for Audrey Frederickson is 1689681298. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Audrey Frederickson located?

Audrey Frederickson practices at 5200 Maywood Rd Suite 202, Mound, MN 55364. The listed phone number is (952) 472-2408.

What is Audrey Frederickson'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 Audrey Frederickson was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.