Charles R. Fredericks, PHD
Clinical Psychologist · West Long Branch, NJ
Practice location
1049 Broadway Ste 2West Long Branch, NJ 07764-1335
- Phone
- (732) 222-1100
- Fax
- (732) 222-1103
NPI record
- NPI
- 1902312655
- Entity type
- Individual (Type 1)
- Enumeration date
- December 18, 2017
- Last updated
- December 18, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
35S100267600 | NJ |
About Dr. Fredericks
Charles R. Fredericks, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1049 Broadway Ste 2, West Long Branch, NJ 07764-1335. The NPI number 1902312655 was assigned on December 18, 2017 and the record was last updated on December 18, 2017.
Dr. Fredericks lists a license in the registry: #35S100267600 (NJ) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Charles R. Fredericks, PHD?
The NPI number is 1902312655.
What is the phone number of Dr. Fredericks?
The phone number listed for the practice location is (732) 222-1100.
Where is Dr. Fredericks located?
1049 Broadway Ste 2, West Long Branch, NJ 07764-1335.
What is the taxonomy code for Dr. Fredericks?
The primary taxonomy code is 103TC0700X – Clinical 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.
Other Clinical Psychologist providers in West Long Branch
- Morris Laitman,P.A.9 Abis Pl
- Gwen Janae Zegestowsky, PSYD1049 Broadway Ste 2
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