BRIAN PAUL FREDERICK

LAFAYETTE, LA
NPI1902965742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: LA  880)
Additional Taxonomies103T00000X Psychologist
(Licence: MS  40-005)
Enumeration Date2006-12-07
Last Update Date2007-07-08
Business Address
-- BRIAN PAUL FREDERICK Ph.D.
850 KALISTE SALOOM RD SUITE 105
LAFAYETTE, LA 70508-4230
Phone number: 337-237-0788
Mailing Address
-- BRIAN PAUL FREDERICK Ph.D.
305 MILL POND DR
YOUNGSVILLE, LA 70592-5655
Phone number:
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