Provider Demographics
NPI:1508276437
Name:FROESCHL, JOSEPH (MA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:FROESCHL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2011
Mailing Address - Country:US
Mailing Address - Phone:402-245-4458
Mailing Address - Fax:402-245-4458
Practice Address - Street 1:116 W 19TH ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2011
Practice Address - Country:US
Practice Address - Phone:402-245-4458
Practice Address - Fax:402-245-4458
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10231101YM0800X
KS2622101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health