Provider Demographics
NPI:1528214426
Name:FREEMAND, DESRENE DEBBIE ANN (MD)
Entity Type:Individual
Prefix:
First Name:DESRENE
Middle Name:DEBBIE ANN
Last Name:FREEMAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 MILL RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-1231
Mailing Address - Country:US
Mailing Address - Phone:215-837-2033
Mailing Address - Fax:215-886-7279
Practice Address - Street 1:520 N DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-4226
Practice Address - Country:US
Practice Address - Phone:215-707-2577
Practice Address - Fax:215-707-3363
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1919392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry