Miss Lara Ann Freda
School Psychologist
9419 W Van Buren St
Tolleson
, Arizona 85353-2804
Miss Lara Ann Freda
School Psychologist
9419 W Van Buren St
Tolleson
, Arizona 85353-2804
(623) 478-4239
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Miss Lara Ann Freda
- 16429 S 33rd St
- Phoenix, AZ
- Zip : 85048-7845
- Phone : (623) 478-4239
Second Address
- Miss Lara Ann Freda
- 9419 W Van Buren St
- Tolleson, AZ
- Zip : 85353-2804
- Phone : (623) 478-4239
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | AZ | |
| N | 103TS0200X | School Psychologist | CA |
National Provider Identifier
| NPI | 1053491225 |
|---|---|
| Provider Name | Miss Lara Ann Freda |
| First Address | Phoenix, AZ 85048-7845 |
| Second Address | Tolleson, AZ 85353-2804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 26/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 099101 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.