CARMEN SUE FREDERICK


Address: 731 Speckman Road, Louisville, KY 40243
Phone: 5028174084

CARMEN SUE FREDERICK (NPI# 1376013342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376013342
Entity Type Individual
Full Name CARMEN SUE FREDERICK
Practice Address 731 Speckman Road
Louisville
KY 40243
Mailing Address 418 Landis Lakes Ct
Louisville
KY 40245-3972
Practice Telephone 5028174084
Mailing Telephone 5028174084
Enumeration Date 2018-12-03
Last Update Date 2018-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
137137 KY Behavioral Health & Social Service Providers

Office Location

Street Address 731 SPECKMAN ROAD
City LOUISVILLE
State KY
Zip Code 40243

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1548555287 Jonathan D Senters Pharmacist 12975 Shelbyville Road, T-2728, Middletown, KY 40243 2011-06-10
1023339835 Ashley Rose Havens Speech-Language Pathologist 11510 Main Street, Louisville, KY 40243 2010-06-15
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295195907 Carol Massey Psychologist 7400 Newlagrange Roed, 308, Louisville, KY 40222 2016-02-24
1972962348 Sara W Sutphin Psychologist 329 Plaza Ave, Louisville, KY 40218-3411 2016-02-15
1457732331 Norah Slone Psychologist 8130 Coppercreek Dr, Louisville, KY 40222-6812 2015-06-16
1326396730 Eugene Howard Foster Psychologist 13502 Cypress Springs Ct, Louisville, KY 40245-7403 2012-08-16
1477870079 Danelle Stevens-watkins Phd Pllc Psychologist 6511 Glenridge Park Place Ste 5, Louisville, KY 40222-3452 2010-04-23
1457501413 Amanda Christine Voils-levenda Psychologist 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 2008-09-26
1285837435 G. Stephen Perry Psychologist 3103 Breckenridge Ln Ste 5, Louisville, KY 40220-5730 2007-06-06
1306055512 Brenda F. Nash Psychologist 133 N Evergreen Rd Ste 206, Louisville, KY 40243-1484 2007-05-22
1386711059 Health Counseling & Educational Services Inc Psychologist 1412 Blue Vale Way, Louisville, KY 40222-3806 2006-11-29
1508972225 Juliette Siegel Murray Psychologist 3906 Dupont Sq S Ste A, Louisville, KY 40207-4647 2006-08-23
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Competitor

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City LOUISVILLE
Zip Code 40243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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