Provider Demographics
NPI:1952428583
Name:FREEBURG, AMYANNE (PSYD, MSCP)
Entity Type:Individual
Prefix:DR
First Name:AMYANNE
Middle Name:
Last Name:FREEBURG
Suffix:
Gender:F
Credentials:PSYD, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 CALIFORNIA AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1190
Mailing Address - Country:US
Mailing Address - Phone:800-792-9129
Mailing Address - Fax:855-278-9129
Practice Address - Street 1:4520 CALIFORNIA AVE STE 210
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1190
Practice Address - Country:US
Practice Address - Phone:800-792-9129
Practice Address - Fax:855-278-9129
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22152103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic