Organization
ROBERT N FREEDENFELD, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FREEDENFELD PHD (PRESIDENT)
(817) 312-3917
Entity
Organization
Contact information
Practice address
1207 S WHITE CHAPEL BLVD, SUITE 140, SOUTHLAKE, TX 76092-9314
(817) 312-3917
Mailing address
PO BOX 532, COLLEYVILLE, TX 76034-0532
(817) 312-3917
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5462
TX
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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