Freed, David Matthew

Freed, David Matthew is an individual health care provider with primary practice located at 1180 Cross St Se , Salem OR 97302-2924. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Freed, David Matthew can be contacted 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:
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Health care specialties

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

Profile Details

NPI number 1386857506
LBN Legal business name Freed, David Matthew
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 23rd, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386857506 NPPES
Oregon MEDICAID 278094

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