Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Fredrickson

Individual provider Marriage & Family Therapist · NPI 1336988930

Samuel Fredrickson is a Marriage & Family Therapist in Madison, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

579 Donofrio Dr Ste 206
Madison, WI 53719-2839
Phone: (608) 424-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1336988930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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