Doctor Name: | MS. ELLEN L FREED |
NPI Number: | 1922154822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LC2403 |
Business Practice Address: | 116 Second St Suite 1 Hallowell, ME - 04347 |
Business Phone Number: | 2076220801 |
Business Fax Number: | 2076226988 |
Mailing Address: | 116 Second St, Suite 1 HALLOWELL |
State: | ME |
Postal Code: | 04347 |
Phone Number: | 2076220801 |
Fax Number: | 2076226988 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC2403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |