ELLEN JANE FRESHMAN NPI 1154602936

NPI Information

NPI: 1154602936
Provider Name: ELLEN JANE FRESHMAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
255 PARK AVE
WORCESTER, MA
ZIP 01609
Phone: (508) 799-0688
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Ellen Jane Freshman is a mental health counselor in Worcester, MA with 46 years of experience. Ellen Jane Freshman NPI is 1154602936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 PARK AVE
WORCESTER, MA
ZIP 01609-953
Phone: (508) 799-0688

The NPI 1154602936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 9/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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