Provider Demographics
NPI:1710910856
Name:FREEDLAND, NANETTE A (MFT)
Entity Type:Individual
Prefix:MRS
First Name:NANETTE
Middle Name:A
Last Name:FREEDLAND
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4028
Mailing Address - Country:US
Mailing Address - Phone:650-947-4044
Mailing Address - Fax:650-964-9317
Practice Address - Street 1:900 N SAN ANTONIO RD
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1373
Practice Address - Country:US
Practice Address - Phone:650-947-4044
Practice Address - Fax:650-964-9317
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28411106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist