Provider Demographics
NPI:1366680365
Name:FREIVOGEL, MARY E (MS, CGC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:FREIVOGEL
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5654 JAGUAR WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5202
Mailing Address - Country:US
Mailing Address - Phone:303-799-6252
Mailing Address - Fax:303-696-9281
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:#200E
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:720-493-3226
Practice Address - Fax:303-741-4813
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS