Ulam, Frederick A

Ulam, Frederick A is an individual health care provider with primary practice located at 516 E Catalpa St , Springfield MO 65807-1614. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ulam, Frederick A can be contacted via phone (417) 864-8920.

Contact Information

Primary practice address
516 E Catalpa St Springfield MO 65807-1614
Phone: (417) 864-8920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PYR0452 Missouri
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PYR0452 Missouri
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PYR0452 Missouri
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PYR0452 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X R0452 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X PYR0452 Missouri

Profile Details

NPI number 1356424972
LBN Legal business name Ulam, Frederick A
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 29th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356424972 NPPES
Missouri MEDICAID 495011611
Missouri Other P00174113

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