Gover, Fredrica Jill
Gover, Fredrica Jill is an sole proprietor health care provider with primary practice located at 611 S Palm Canyon Dr Suite 201, Palm Springs CA 92264-7213. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gover, Fredrica Jill can be contacted via phone (760) 416-7899.Contact Information
Primary practice address
611 S Palm Canyon Dr Suite 201
Palm Springs CA 92264-7213
Phone: (760) 416-7899
Fax: (760) 416-7786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 13880 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY13880 | California |
Profile Details
| NPI number | 1669496899 |
|---|---|
| LBN Legal business name | Gover, Fredrica Jill |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 10th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669496899 | NPPES |
| California | MEDICAID | FHC70034F |
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