SAUNDRA L FREDRICKSON MA NPI 1851641047

NPI Information

NPI: 1851641047
Provider Name: SAUNDRA L FREDRICKSON, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6202 CONSTITUTION DR
SUITE D
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-0066
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Saundra L Fredrickson, MA is a mental health counselor in Fort Wayne, IN. Saundra L Fredrickson, MA NPI is 1851641047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6202 CONSTITUTION DR
SUITE D
FORT WAYNE, IN
ZIP 46804-583
Phone: (260) 432-0066
Fax: (260) 432-8503

The enumeration date for this NPI number is 9/14/2012 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	39002773A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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