Frederick, Richard Ivan
Frederick, Richard Ivan is an sole proprietor health care provider with primary practice located at 1244 E Walnut St , Springfield MO 65802-3423. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Frederick, Richard Ivan can be contacted via phone (417) 766-4373.Contact Information
Primary practice address
1244 E Walnut St
Springfield MO 65802-3423
Phone: (417) 766-4373
Fax: (417) 874-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | R0334 | Missouri |
Profile Details
| NPI number | 1497725725 |
|---|---|
| LBN Legal business name | Frederick, Richard Ivan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 29th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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