| Fredrick P Frieden, PHD | |
|
12695 Mcmanus Blvd., Bldg 8, Newport News, VA 23602-4442 | |
| (757) 877-7700 | |
| (757) 872-7211 |
| Full Name | Fredrick P Frieden |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 12695 Mcmanus Blvd., Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316035975 | NPI | - | NPPES |
| 77 36 68 1 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810001061 (Virginia) | Primary |
| Entity Name | Clinical Associates Of Tidewater |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447341615 PECOS PAC ID: 4981688744 Enrollment ID: O20040617001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredrick P Frieden, PHD 12695 Mcmanus Blvd., Bldg 8, Newport News, VA 23602-4442 Ph: (757) 877-7700 | Fredrick P Frieden, PHD 12695 Mcmanus Blvd., Bldg 8, Newport News, VA 23602-4442 Ph: (757) 877-7700 |
Mr. William Mcenroe, M.S.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 51 Copeland Ln, Newport News, VA 23601 Phone: 757-591-4700 | |
Rwanda Goolsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 853 Harpersville Rd, Newport News, VA 23601 Phone: 757-591-4781 | |
Mrs. Rebecca Kohaut, ED.S. NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12465 Warwick Blvd, Newport News, VA 23606 Phone: 757-591-4661 | |
Mrs. Amber Berkley Thomas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4200 Marshall Ave, Newport News, VA 23607 Phone: 757-928-6810 | |
Alison Mascalo, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 12695 Mcmanus Blvd, Bldg. 8, Newport News, VA 23602 Phone: 757-877-7700 | |
Dr. Kirsten Montgomery Betak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Medical, Pcu Ghw Bush Cvn77, Supship Newport News, 4101 Washington Ave, Bldg 2, Newport News, VA 23607 Phone: 757-534-1645 | |
Amanda Gallimore, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1241 Gatewood Rd, Newport News, VA 23601 Phone: 757-591-4963 |