Freeman, Paul Edward
Freeman, Paul Edward is an individual health care provider with primary practice located at 720 14Th Avenue , Longview WA 98632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Freeman, Paul Edward can be contacted via phone (360) 423-0203.Contact Information
Primary practice address
720 14Th Avenue
Longview WA 98632
Phone: (360) 423-0203
Fax: (360) 423-5086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00005989 | Washington |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 00005989 | Washington |
Profile Details
NPI number | 1881737922 |
---|---|
LBN Legal business name | Freeman, Paul Edward |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Feb 5th, 2019 - about 5 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 | 1881737922 | NPPES |
Washington | MEDICAID | 2094832 |
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