PAUL B FREDERIKSEN

HATTIESBURG, MS
NPI1568745545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MS  51 886)
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
-- PAUL B FREDERIKSEN Ph.D.
103 SOUTH 19TH AVE
HATTIESBURG, MS 39402
Phone number: 601-544-4641
Mailing Address
-- PAUL B FREDERIKSEN Ph.D.
P O BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901