Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 103T00000X | NM |
N | 103T00000X | Psychologist | 103T00000X | NM |
Y | 175F00000X | Naturopath | 175F00000X | NM |
N | 175L00000X | Homeopath | 175L00000X | NM |
NPI | 1306371364 |
---|---|
Provider Name | Dr. David Frederick |
First Address | York, PA 17402-2897 |
Second Address | York, PA 17402-2897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2017 |
Last Update Date | 27/04/2017 |