| Jeffrey Fremont Phd | |
|
1264 Wyoming Ave Forty Fort PA 18704-4138 | |
| (570) 288-8795 | |
| (570) 288-3165 |
| Full Name | Jeffrey Fremont Phd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1264 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Jane Andrews (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5702888795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Fremont Phd 1264 Wyoming Ave Forty Fort PA 18704-4138 Ph: (570) 288-8795 | Jeffrey Fremont Phd 1264 Wyoming Ave Forty Fort PA 18704-4138 Ph: (570) 288-8795 |
| NPI Number | 1316528680 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316528680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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