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Search › Louisiana › 103T00000X

Brian Frederick, PH.D

NPI 1902965742 · on the registry since 2006 · sole proprietor

Practice

Address
850 Kaliste Saloom Rd
Suite 105
Lafayette, LA 70508
Phone
(337) 237-0788
Fax
(337) 237-0785
Organisation at this address
Go Ride, Llc
Checkup, Llc
Jayme Liles Llc
Graciana Counseling
Lhtc Psych Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103T00000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Louisiana