| Charles R Fredericks, PHD | |
|
1049 Broadway Ste 2, West Long Branch, NJ 07764-1335 | |
| (732) 222-1100 | |
| (732) 222-1103 |
| Full Name | Charles R Fredericks |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1049 Broadway Ste 2, West Long Branch, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902312655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S100267600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Fredericks, PHD 1049 Broadway Ste 2, West Long Branch, NJ 07764-1335 Ph: (732) 222-1100 | Charles R Fredericks, PHD 1049 Broadway Ste 2, West Long Branch, NJ 07764-1335 Ph: (732) 222-1100 |
Dr. Doris Klein Hiatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1049 Broadway, Suite 6, West Long Branch, NJ 07764 Phone: 732-870-2626 | |
Thomas Brooks, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 280 Norwood Ave, West Long Branch, NJ 07764 Phone: 732-222-1100 Fax: 732-222-1103 | |
Gwen Janae Zegestowsky, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1049 Broadway Ste 2, West Long Branch, NJ 07764 Phone: 732-222-1100 Fax: 732-222-1103 |