Jason R. Fredenberg, PSY.D

Psychologist · Cairo, NY

Individual Active NPI

NPI number 1689688285

Practice location

905 Greene Co Office Bldg
Greene Co Mental Health Clinic
Cairo, NY 12413-2868
Phone
(518) 622-9163
Fax
(518) 622-8592

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NPI record

NPI
1689688285
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 015573 NY

About Dr. Fredenberg

Jason R. Fredenberg, PSY.D is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, NY 12413-2868. The NPI number 1689688285 was assigned on July 28, 2006 and the record was last updated on July 8, 2007.

Dr. Fredenberg lists a license in the registry: #015573 (NY) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason R. Fredenberg, PSY.D?

The NPI number is 1689688285.

What is the phone number of Dr. Fredenberg?

The phone number listed for the practice location is (518) 622-9163.

Where is Dr. Fredenberg located?

905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, NY 12413-2868.

What is the taxonomy code for Dr. Fredenberg?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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