Provider Demographics
NPI:1083727952
Name:FREELAND, BEATRIZ A B (MA, JD, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:A B
Last Name:FREELAND
Suffix:
Gender:F
Credentials:MA, JD, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19735 QUARTERLY PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32833-5307
Mailing Address - Country:US
Mailing Address - Phone:407-716-4824
Mailing Address - Fax:407-479-3655
Practice Address - Street 1:19735 QUARTERLY PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32833-5307
Practice Address - Country:US
Practice Address - Phone:407-716-4824
Practice Address - Fax:407-479-3655
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL888886800Medicaid