Provider Demographics
NPI:1508166257
Name:FREEMAN, PAMELA E (LPCMH, NCC, MS)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:E
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LPCMH, NCC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4806 WEATHERHILL DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1940
Mailing Address - Country:US
Mailing Address - Phone:302-345-7990
Mailing Address - Fax:
Practice Address - Street 1:4806 WEATHERHILL DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1940
Practice Address - Country:US
Practice Address - Phone:302-345-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000515101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional