Dr Fredrick Bruce Packard, EDD is a
Psychologist based in Snowflake, Arizona. Dr Fredrick Bruce Packard is licensed to practice in Arizona (license number 3125) and his current practice location is
160 W Fish Ln, Snowflake, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 225-9111.
NPI number for Dr Fredrick Bruce Packard is 1669439626 and his current mailing address is 160 W Fish Ln, Snowflake, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669439626.
Healthcare Provider's Profile
Full Name | Dr Fredrick Bruce Packard |
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Gender | Male |
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Speciality | Psychologist |
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Location | 160 W Fish Ln, Snowflake, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669439626
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 04/09/2021
Medical Identifiers
Medical identifiers for Dr Fredrick Bruce Packard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669439626 | NPI | - | NPPES |
3125 | Other | AZ | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 3125 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fredrick Bruce Packard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Fredrick Bruce Packard, EDD 160 W Fish Ln, Snowflake, AZ 85937-5085 Ph: (928) 225-9111 | Dr Fredrick Bruce Packard, EDD 160 W Fish Ln, Snowflake, AZ 85937-5085 Ph: (928) 225-9111 |
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