Organization
MARY L. FREEMAN, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LUCILE FREEMAN PH.D. (CLINICAL PSYCHOLOGIST)
(337) 233-7867
Entity
Organization
Contact information
Practice address
601 W SAINT MARY BLVD STE 406, LAFAYETTE, LA 70506-3564
(337) 233-7867
(337) 235-7199
Mailing address
601 W SAINT MARY BLVD STE 406, LAFAYETTE, LA 70506-3564
(337) 233-7867
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
965
LA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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