Provider Demographics
NPI:1154493617
Name:FREESE, MARGARET POINDEXTER (PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:POINDEXTER
Last Name:FREESE
Suffix:
Gender:F
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 E FLAMINGO RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7483
Mailing Address - Country:US
Mailing Address - Phone:702-486-7502
Mailing Address - Fax:702-486-8029
Practice Address - Street 1:3075 E FLAMINGO RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7483
Practice Address - Country:US
Practice Address - Phone:702-486-7502
Practice Address - Fax:702-486-8029
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV199103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical