Provider Demographics
NPI:1164862314
Name:FREEBERY, PATRICIA LYNN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:FREEBERY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 BEVERLY BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4529
Mailing Address - Country:US
Mailing Address - Phone:323-791-0402
Mailing Address - Fax:
Practice Address - Street 1:8240 BEVERLY BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4529
Practice Address - Country:US
Practice Address - Phone:323-791-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist