| Lucy Freeman Phd Llc | |
|
601 W Saint Mary Blvd Ste 406 Lafayette LA 70506-3564 | |
| (337) 233-7867 | |
| (337) 235-7199 |
| Full Name | Lucy Freeman Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 601 W Saint Mary Blvd Ste 406, Lafayette, Louisiana |
| Authorized Official Name and Position | Mary Lucille Freeman (PSYCHOLOGIST) |
| Authorized Official Contact | 3372337867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucy Freeman Phd Llc 601 W Saint Mary Blvd Ste 406 Lafayette LA 70506-3564 Ph: (337) 233-7867 | Lucy Freeman Phd Llc 601 W Saint Mary Blvd Ste 406 Lafayette LA 70506-3564 Ph: (337) 233-7867 |
| NPI Number | 1457994469 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 5294168373 |
|---|---|
| Medicare Enrollment ID | O20191203002334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457994469 | NPI | - | NPPES |
| 1205858008 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Lucile Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205858008 PECOS PAC ID: 2466406152 Enrollment ID: I20050304000797 |
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