Provider Demographics
NPI:1811352230
Name:FREDA B. LERMAN, LPC, PSYD, LP, PLLC
Entity type:Organization
Organization Name:FREDA B. LERMAN, LPC, PSYD, LP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDA
Authorized Official - Middle Name:BARAN
Authorized Official - Last Name:LERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PSYD,LP
Authorized Official - Phone:248-496-5560
Mailing Address - Street 1:6905 TELEGRAPH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3146
Mailing Address - Country:US
Mailing Address - Phone:248-496-5560
Mailing Address - Fax:
Practice Address - Street 1:6905 TELEGRAPH ROAD SUITE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301
Practice Address - Country:US
Practice Address - Phone:248-496-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301016506103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty