Provider Demographics
NPI:1235403411
Name:JAMES A. FREEBERG, EDD, PC
Entity Type:Organization
Organization Name:JAMES A. FREEBERG, EDD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:956-546-0363
Mailing Address - Street 1:866 W PRICE RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8702
Mailing Address - Country:US
Mailing Address - Phone:956-546-0363
Mailing Address - Fax:866-561-8953
Practice Address - Street 1:866 W PRICE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8702
Practice Address - Country:US
Practice Address - Phone:956-546-0363
Practice Address - Fax:866-561-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02-1177103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty