Provider Demographics
NPI:1487861118
Name:FREEDMAN, ROBERT LOUIS (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LOUIS
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:LOUIS
Other - Last Name:FREEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1301 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2311
Mailing Address - Country:US
Mailing Address - Phone:510-684-2647
Mailing Address - Fax:510-684-2647
Practice Address - Street 1:5625 COLLETE AVENUE, SUITE 207
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-4134
Practice Address - Country:US
Practice Address - Phone:510-684-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC1808OtherLPC