MEDICARE: MRS. AMBER KAYE FREDERICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center		OH

General Provider Information

NPI Number	:	1891397766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER KAYE FREDERICK

Provider Business Mailing Address
First Line	:	1632 LINNBROOK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-3133
Country	:	US
Telephone Number	:	937-270-9167
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 LINNBROOK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-3133
Country	:	US
Telephone Number	:	937-270-9167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2020
Last Update Date	:	11/14/2020

Similar Medicare Providers

1306946074 — MR. JONATHAN P SHELTON R.PH
Practice Location Address:

1613 FAR HILLS AVE
DAYTON, OH
45419-3133

Practice Phone: 937-294-2514
Practice Fax: 937-253-8662

1962122812 — KAITLYN BRIAR
Practice Location Address:

4741 REXWOOD DR
DAYTON, OH
45439-3133

Practice Phone: 520-539-2683
Practice Fax:

1477270544 — AISHA J COTTON
Practice Location Address:

609 INGRAM ST
DAYTON, OH
45417-3133

Practice Phone: 937-951-1933
Practice Fax:

1548052574 — SHERVONDA WATSON
Practice Location Address:

4461 BASCULE BRIDGE DR APT 706
DAYTON, OH
45440-3133

Practice Phone: 662-645-4170
Practice Fax:

1497698351 — PERSPECTIVE - PEER AND CLINICAL ALLIANCE, LLC
Practice Location Address:

1984 BURROUGHS DR
DAYTON, OH
45406-4418

Practice Phone: 937-598-2810
Practice Fax:

1326982851 — KAYLA MAURIE JOHNSON DO
Practice Location Address:

2261 PHILADELPHIA DR STE 300
DAYTON, OH
45406-1814

Practice Phone: 937-734-4141
Practice Fax:

Directions to “ MRS. AMBER KAYE FREDERICK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.