RENEE FREDRICKSON (NPI# 1306171889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306171889 |
Entity Type | Individual |
Full Name | RENEE FREDRICKSON |
Credential | PHD, L.P. |
Practice Address |
1248 Bucher Ave Saint Paul MN 55126-8602 |
Practice Telephone | 6516468373 |
Mailing Telephone | 6516468373 |
Enumeration Date | 2009-10-16 |
Last Update Date | 2009-11-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP2653 | MN | Behavioral Health & Social Service Providers |
Street Address |
1248 BUCHER AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55126-8602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
Find all providers in zip 55126 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
1124597133 | Take Flight Counseling Services LLC | Psychologist | 1821 University Ave W Ste S303, Saint Paul, MN 55104-2813 | 2018-11-19 |
1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
1851845267 | Sharon Black | Psychologist | 1774 Sheridan Ave, Saint Paul, MN 55116-2730 | 2016-08-15 |
1457760316 | Mera Kachgal | Psychologist | 121 7th Pl E Ste 300, Dds, Saint Paul, MN 55101-2116 | 2014-08-05 |
1316230238 | Psybiz, Inc. | Psychologist | 155 Wabasha St S Ste 122, Saint Paul, MN 55107-1822 | 2011-05-25 |
1093006215 | (albina) Louise Hiniker | Psychologist | 1811 Bayard Ave, Saint Paul, MN 55116-1437 | 2011-04-21 |
1780992479 | Michael V. Desanctis, Phd, Abpp, Licensed Psychologist Pllc | Psychologist | 413 Wacouta St Ste 550, Saint Paul, MN 55101-1645 | 2010-09-16 |
1689826158 | Sheila Maland | Psychologist | 311 Ramsey St Ste 205, Saint Paul, MN 55102-2323 | 2008-10-16 |
1497904114 | Patricia Anne Stankovitch | Psychologist | 2136 Ford Pkwy, #200, Saint Paul, MN 55116-1863 | 2008-09-17 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55126 |
Please comment or provide details below to improve the information on RENEE FREDRICKSON.
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.