Individual
HENRY THEODORE FREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 WESTLINE DR, SUITE 203, ALAMEDA, CA 94501-7649
(510) 521-4323
(510) 521-5623
Mailing address
155 PERSHING DR, OAKLAND, CA 94611-3232
(510) 521-4323
(510) 521-5623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G21044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G210441
—
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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