Kelly K Frederick
Kelly K Frederick is a School Psychologist in Warren, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1063 E 900 SWarren, IN 46792-9214
Phone: (260) 468-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence 10267664 (IN) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-19-78150 (IN) |
Record details
| NPI number | 1821652876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 25, 2019 |
| Last updated in NPPES | August 19, 2021 |
| Certification date | August 19, 2021 |
| Mailing address | 1063 E 900 S, Warren, IN 46792-9214 |