Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1245544287 |
---|---|
Provider Name | Mrs. Cari Freeman |
First Address | Chico, CA 95973-0978 |
Second Address | Chico, CA 95973-0978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 22/05/2014 |