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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
137137 | KY | Behavioral Health & Social Service Providers |
Street Address |
731 SPECKMAN ROAD |
City | LOUISVILLE |
State | KY |
Zip Code | 40243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
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 |
1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
1427381292 | Jennifer Lynn Schwartz | Occupational Therapist | 213 Linney Ave, Louisville, KY 40243 | 2009-09-11 |
Find all providers in zip 40243 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40243 |
Please comment or provide details below to improve the information on CARMEN SUE FREDERICK.
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.