Provider Demographics
NPI:1225887581
Name:FREIMUTH, BETH N (MS)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:N
Last Name:FREIMUTH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 STERLING RD
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6675
Mailing Address - Country:US
Mailing Address - Phone:909-747-5924
Mailing Address - Fax:
Practice Address - Street 1:39407 VISTA DEL SOL
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3283
Practice Address - Country:US
Practice Address - Phone:877-502-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health