Individual
RENEE FREILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,CNS
Contact information
Practice address
4447 GRADYVILLE RD, NEWTOWN SQUARE, PA 19073-3048
(610) 353-0184
Mailing address
4447 GRADYVILLE RD, NEWTOWN SQUARE, PA 19073-3048
(610) 353-0184
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
RN228819L
PA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN228819L
PA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN228819L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FR158209
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/23/2007
Last updated
07/16/2007
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