IndividualActive
Anne Frederickson, MD
NPI 1629259288 · Child & Adolescent Psychiatry Physician · Philadelphia, PA
Provider details
- NPI number
- 1629259288
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA09605400 (NJ)
Practice location
100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone: (215) 707-8496
Fax: (215) 707-4086
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Registry dates
- Enumerated
- 2007-11-23
- Last updated
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.