David M Freed Phd Pc

LBN: David M Freed Phd Pc
David M Freed Phd Pc is an health care organization with primary practice located at 1180 Cross St Se , Salem OR 97302-2924. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. David M Freed Phd Pc can be contacted via phone (503) 362-9357, or through Freed, David M via phone (503) 362-9357.

Contact Information

Primary practice address
1180 Cross St Se Salem OR 97302-2924
Phone: (503) 362-9357
Fax: (503) 362-9424
Website:
Map and Directions
Authorized official contact:
Name: Freed, David M PHD
Phone: (503) 362-9357

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1477 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1497968622
LBN Legal business name David M Freed Phd Pc
DBA Doing business as
Authorized official Freed, David M PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Jul 23rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497968622 NPPES
Oregon MEDICAID 278094

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