Ellen Fredericks, PHD | |
1545 Kingsway Ct, Suite 201a, Trenton, MI 48183-1952 | |
(734) 692-2696 | |
Not Available |
Full Name | Ellen Fredericks |
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Gender | Female |
Speciality | Clinical Psychologist |
Experience | 45 Years |
Location | 1545 Kingsway Ct, Trenton, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1437260247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6301002524 (Michigan) | Primary |
Entity Name | Ellen G. Fredericks Phd., L.p., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932270048 PECOS PAC ID: 2062513377 Enrollment ID: O20070730000783 |
Mailing Address | Practice Location Address |
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Ellen Fredericks, PHD 1545 Kingsway Ct, Suite 201a, Trenton, MI 48183-1952 Ph: (734) 692-2696 | Ellen Fredericks, PHD 1545 Kingsway Ct, Suite 201a, Trenton, MI 48183-1952 Ph: (734) 692-2696 |
John Shafer, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1660 Fort St, Trenton, MI 48183 Phone: 734-304-4159 | |
Carie Joyce Mcgauley, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 1620 Edsel St, Trenton, MI 48183 Phone: 734-552-9217 | |
Dr. Jeanne Ann Layne, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2836 W Jefferson Ave, Trenton, MI 48183 Phone: 734-627-7102 | |
Rachel Dianne Kern, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1660 Fort St, Trenton, MI 48183 Phone: 248-921-1495 | |
Janette Mae Potter, MS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1660 Fort St, Trenton, MI 48183 Phone: 734-304-4159 | |
Mrs. Amy K. Bolton, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2242 W Jefferson Ave Ste A, Trenton, MI 48183 Phone: 734-250-3919 |