Provider Demographics
NPI:1477177269
Name:FREEMAN, ROBERT K (LMFT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1012
Mailing Address - Country:US
Mailing Address - Phone:203-278-6825
Mailing Address - Fax:
Practice Address - Street 1:2595 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5855
Practice Address - Country:US
Practice Address - Phone:203-345-0404
Practice Address - Fax:203-908-4110
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT485106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist