Individual
DR. SHEILA STURGEON FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646-5924
(208) 475-4690
(208) 899-4703
Mailing address
3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646-5924
(208) 475-4690
(208) 899-4703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202431
ID
103TC2200X
Clinical Child & Adolescent Psychologist
PSY-202431
ID
103TF0000X
Family Psychologist
PSY-202431
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010168149
BLUE SHIELD OF IDAHO
ID
01
—
N6342
BLUE CROSS OF IDAHO
—
Enumeration date
03/28/2007
Last updated
01/25/2010
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