Doctor Name: | PENNY FREEMAN |
NPI Number: | 1104235886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DR, LPC |
License Number: | PC005032 |
Business Practice Address: | 1601 N. Limekiln Pike Dresher, PA - 19025 |
Business Phone Number: | 2156465588 |
Business Fax Number: | 2156464656 |
Mailing Address: | 1601 Limekiln Pike, DRESHER |
State: | PA |
Postal Code: | 190251007 |
Phone Number: | 2156465588 |
Fax Number: | 2156464656 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |