Individual
LORRAINE R FREEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LISW
Contact information
Practice address
25 KAHOA ST, HILO, HI 96720-2205
(808) 345-1726
Mailing address
PO BOX 4249, HILO, HI 96720-0249
(808) 345-1726
(808) 315-7204
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PA-0938
NM
103G00000X
Clinical Neuropsychologist
PSY-1150
HI
103TC0700X
Clinical Psychologist
Primary
1037
NM
1041C0700X
Clinical Social Worker
I-2145
NM
1041C0700X
Clinical Social Worker
LCSW-3980
HI
Other
Enumeration date
09/16/2006
Last updated
04/02/2020
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