Doctor Name: | BOBBY LEE FREEMAN |
NPI Number: | 1073697397 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 619 |
Business Practice Address: | 1200 S. Willow Streeet Cookeville, TN - 38502 |
Business Phone Number: | 9314324123 |
Business Fax Number: | 9314324605 |
Mailing Address: | 118 N Church St, MURFREESBORO |
State: | TN |
Postal Code: | 371303636 |
Phone Number: | 6152782241 |
Fax Number: | 6159049182 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |