| NPI | 1558182402 |
|---|---|
| Other Name | FREDRIC RICHMOND |
| Entity Type | Organization |
| Authorized Contact | FREDRIC NONE RICHMOND Licensed Psychologist 520-461-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |