Provider Demographics
NPI:1588634406
Name:FREEDMAN, EVAN BRICK (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:BRICK
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 E ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3007
Mailing Address - Country:US
Mailing Address - Phone:360-734-2664
Mailing Address - Fax:360-671-8006
Practice Address - Street 1:1513 E ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3007
Practice Address - Country:US
Practice Address - Phone:360-734-2664
Practice Address - Fax:360-671-8006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002306103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical