Freda, Lara Ann
Freda, Lara Ann is an individual health care provider with primary practice located at 9419 W Van Buren St , Tolleson AZ 85353-2804. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Freda, Lara Ann can be contacted via phone (623) 478-4239.Contact Information
Primary practice address
9419 W Van Buren St
Tolleson AZ 85353-2804
Phone: (623) 478-4239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | California |
Profile Details
| NPI number | 1053491225 |
|---|---|
| LBN Legal business name | Freda, Lara Ann |
| Credentials | ED.S. SCHOOL PSYCH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053491225 | NPPES |
| Arizona | MEDICAID | 099101 |
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