| Doctor Name: | MALINDA JO FREITAG |
| NPI Number: | 1033551064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8650416-6009 |
| Business Practice Address: | 5242 S 4820 W Kearns, UT - 841186422 |
| Business Phone Number: | 8017479257 |
| Business Fax Number: | |
| Mailing Address: | 5242 S 4820 W, KEARNS |
| State: | UT |
| Postal Code: | 841186422 |
| Phone Number: | 8017479257 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2013 |
| NPI Last Update Date: | 01/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8650416-6009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |