Individual
DR. LISA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10715 CHARTER DR, SUITE 270, COLUMBIA, MD 21044-2882
(410) 992-5078
(410) 992-9669
Mailing address
10715 CHARTER DR, SUITE 270, COLUMBIA, MD 21044-2882
(410) 992-5078
(410) 992-9669
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88460001
CAREFIRST BCBS D.C.
DC
01
—
GQ75LM 61937403
BCBS CAREFIRST MD
MD
Enumeration date
01/31/2007
Last updated
06/17/2009
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