Provider Demographics
NPI:1497018105
Name:FREEMAN, SHARLENE (MS IN EDUCATION)
Entity Type:Individual
Prefix:MS
First Name:SHARLENE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6801
Mailing Address - Country:US
Mailing Address - Phone:845-344-5170
Mailing Address - Fax:
Practice Address - Street 1:504 SOUTHWOODS DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-7231
Practice Address - Country:US
Practice Address - Phone:845-794-0511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY398286174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist