Provider Demographics
NPI:1497921944
Name:FREUND, RENEE ANNE (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ANNE
Last Name:FREUND
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 KINDERKAMACK ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-9851
Mailing Address - Country:US
Mailing Address - Phone:201-722-9850
Mailing Address - Fax:201-722-9851
Practice Address - Street 1:690 KINDERKAMACK ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-9851
Practice Address - Country:US
Practice Address - Phone:201-722-9850
Practice Address - Fax:201-722-9851
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00063800231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist