Kelly K Frederick, - Psychologist in Warren, IN

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Kelly K Frederick, is a Psychologist - School based in Warren, Indiana. Kelly K Frederick is licensed to practice in Indiana (license number 10267664) and her current practice location is 1063 E 900 S, Warren, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 468-3093.

NPI number for Kelly K Frederick is 1821652876 and her current mailing address is 1063 E 900 S, Warren, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821652876.

Contact Information

Kelly K Frederick,
1063 E 900 S,
Warren, IN 46792-9214
(260) 468-3093
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly K Frederick
GenderFemale
SpecialityPsychologist - School
Location1063 E 900 S, Warren, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821652876
  • Provider Enumeration Date: 04/25/2019
  • Last Update Date: 08/19/2021

Medical Identifiers

Medical identifiers for Kelly K Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821652876NPI-NPPES
10267664OtherININDIANA DEPARTMENT OF EDUCATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 10267664 (Indiana)Primary
106S00000XBehavior Technician RBT-19-78150 (Indiana)Secondary

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. Kelly K Frederick 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 AddressPractice Location Address
Kelly K Frederick,
1063 E 900 S,
Warren, IN 46792-9214

Ph: (260) 468-3093		Kelly K Frederick,
1063 E 900 S,
Warren, IN 46792-9214

Ph: (260) 468-3093

Reviews and Comments


Psychologist in Warren, IN


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