Paul B Frederiksen, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Hattiesburg, MS

NPI

1568745545

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

51 886 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2011-09-26

Last updated

2011-09-26