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Contact Information

KIMBERLY FREDERICKS, LPC
807 W BROAD ST
BETHLEHEM, PA18018-5223
 Phone: 484-542-5058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KIMBERLY FREDERICKS · (Female)

NPI Number 1982033643
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 11/04/2013
Last updated 05/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 37PC00321300
  • PA License # PC003571
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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