| Organization Name: | FREEDMAN MENTAL HEALTH SERVICES LLC |
| NPI Number: | 1265821615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN S FREEDMAN (OWNER) |
| Mailing Address: | 60 Austin St Ste 101 Newtonville |
| State: | MA US |
| Postal Code: | 024601857 |
| Phone Number: | 6177357044 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | MA114131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |