Dr Susan Fredrickson, PHD is a
Psychologist - Clinical based in Towaoc, Colorado. Dr Susan Fredrickson is licensed to practice in New Mexico (license number 629) and her current practice location is
232 Rustling Willow St., Ute Mountain Ute Health Center, Towaoc, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 565-4441.
NPI number for Dr Susan Fredrickson is 1619305786 and her current mailing address is Po Box 49, Ute Mountain Ute Health Center, Towaoc, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619305786.
Healthcare Provider's Profile
| Full Name | Dr Susan Fredrickson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 232 Rustling Willow St., Towaoc, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619305786
- Provider Enumeration Date: 10/28/2013
- Last Update Date: 10/28/2013
Medical Identifiers
Medical identifiers for Dr Susan Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619305786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 629 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Fredrickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan Fredrickson, PHD
Po Box 49, Ute Mountain Ute Health Center,
Towaoc, CO 81334-0049
Ph: (970) 565-4441 | Dr Susan Fredrickson, PHD
232 Rustling Willow St., Ute Mountain Ute Health Center,
Towaoc, CO 81334-0049
Ph: (970) 565-4441 |
Reviews and Comments