| Jennifer Beth Freeman, PHD | |
|
1 Hoppin St, Suite 204, Providence, RI 02903-4141 | |
| (401) 444-8945 | |
| (401) 444-8742 |
| Full Name | Jennifer Beth Freeman |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1 Hoppin St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407832769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS00726 (Rhode Island) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS00726 (Rhode Island) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Beth Freeman, PHD 593 Eddy St, Apc 978, Providence, RI 02903-4923 Ph: (401) 444-4318 | Jennifer Beth Freeman, PHD 1 Hoppin St, Suite 204, Providence, RI 02903-4141 Ph: (401) 444-8945 |
Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709 | |
Alexandrea L Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646 | |
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050 | |
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742 | |
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463 | |
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100 | |
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131 |