SearchTexas104100000X

Jimmie Fedrick, LMSW

NPI 1750766408 · on the registry since 2015 · sole proprietor

Practice

Address
1901 Veterans Memorial Dr
Building #215; Room 121
Temple, TX 76504
Phone
(254) 743-1647
Organisation at this address
Ctxvhcs
Temple Vamc
Temple Vamc
Temple Vamc
Spoken Mindz Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
340

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas