Provider Demographics
NPI:1669446472
Name:FREEMAN, KATHERIN LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERIN
Middle Name:LEIGH
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERIN
Other - Middle Name:FREEMAN
Other - Last Name:SHERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1155 MILL ST # MSM14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-5496
Practice Address - Street 1:75 PRINGLE WAY STE 300
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8425
Practice Address - Country:US
Practice Address - Phone:775-982-3960
Practice Address - Fax:775-982-3727
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2825752084P0804X
AL352322084P0804X
NV232062084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV23206OtherNV STATE MEDICAL LICENSE