Provider Demographics
NPI:1376699439
Name:FREEDMAN, DORENDA M (MFT)
Entity Type:Individual
Prefix:MS
First Name:DORENDA
Middle Name:M
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 TORO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-1634
Mailing Address - Country:US
Mailing Address - Phone:805-565-0845
Mailing Address - Fax:
Practice Address - Street 1:111 E ARRELLAGA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1903
Practice Address - Country:US
Practice Address - Phone:805-882-2400
Practice Address - Fax:805-882-2422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT35254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist