DR. MARYANN FREDERICK PH.D.
NPI 1790901759
Counselor - Professional in Midland, MI
Active since April 18, 2007
About Dr. Maryann Frederick Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYANN FREDERICK PH.D. (NPI 1790901759) is an individual professional provider in Midland, Michigan, licensed in Michigan (6401005947) and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1790901759
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MARYANN FREDERICKCredential: PH.D.
Location Address1813 CANDLESTICK LNMidland, MI 48642-3116
Mailing Address1813 Candlestick LnMidland, MI 48642-3116 · (989) 832-3665 · Fax (989) 832-3665
Phone(989) 832-3665
Fax(989) 832-3665
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790901759 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401005947
1813 CANDLESTICK LN, Midland, MI 48642
Other Identifiers 1
Other11694289MI · Caqh
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790901759, enumerated as an "individual" on April 18, 2007.
The provider is located at 1813 CANDLESTICK LN MIDLAND, MI 48642 and the phone number is (989) 832-3665.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
