| Frederick Psychological Services, Llc | |
|
2639 S County Trl East Greenwich RI 02818-1727 | |
| (401) 214-8558 | |
| (401) 214-3047 |
| Full Name | Frederick Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2639 S County Trl, East Greenwich, Rhode Island |
| Authorized Official Name and Position | Rebecca Frederick (OWNER) |
| Authorized Official Contact | 4012148558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Psychological Services, Llc 2639 S County Trl East Greenwich RI 02818-1727 Ph: (012) 148-5584 | Frederick Psychological Services, Llc 2639 S County Trl East Greenwich RI 02818-1727 Ph: (401) 214-8558 |
| NPI Number | 1073094181 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 4082948252 |
|---|---|
| Medicare Enrollment ID | O20190620003194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073094181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS01388 (Rhode Island) | Primary |
| Provider Name | Rebecca A Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558511600 PECOS PAC ID: 2961764337 Enrollment ID: I20180322002637 |
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