| Joel B Freid Phd Pa | |
|
2020 W Lake Parker Dr Lakeland FL 33805-5005 | |
| (863) 682-7580 | |
| (863) 683-9564 |
| Full Name | Joel B Freid Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2020 W Lake Parker Dr, Lakeland, Florida |
| Authorized Official Name and Position | Joel Benjamin Freid (PRESIDENT) |
| Authorized Official Contact | 8636440506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel B Freid Phd Pa 5925 Imperial Pkwy Suite 128 Mulberry FL 33860-8476 Ph: (863) 644-0506 | Joel B Freid Phd Pa 2020 W Lake Parker Dr Lakeland FL 33805-5005 Ph: (863) 682-7580 |
| NPI Number | 1609931955 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609931955 | NPI | - | NPPES |
| 1346350600 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 0002213 (Florida) | Primary |
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