| Robert N Freedenfeld, Phd, Pc | |
|
1207 S White Chapel Blvd Suite 140 Southlake TX 76092-9314 | |
| (817) 312-3917 | |
| Not Available |
| Full Name | Robert N Freedenfeld, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1207 S White Chapel Blvd, Southlake, Texas |
| Authorized Official Name and Position | Robert Freedenfeld (PRESIDENT) |
| Authorized Official Contact | 8173123917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert N Freedenfeld, Phd, Pc Po Box 532 Colleyville TX 76034-0532 Ph: (817) 312-3917 | Robert N Freedenfeld, Phd, Pc 1207 S White Chapel Blvd Suite 140 Southlake TX 76092-9314 Ph: (817) 312-3917 |
| NPI Number | 1174956700 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Medicare PECOS PAC ID | 4486879947 |
|---|---|
| Medicare Enrollment ID | O20140626000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174956700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5462 (Texas) | Primary |
| Provider Name | Robert N Freedenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386789360 PECOS PAC ID: 0941232516 Enrollment ID: I20050902000515 |
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