MARY LUCILLE FREEMAN (NPI# 1205858008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205858008 |
| Entity Type | Individual |
| Full Name | MARY LUCILLE FREEMAN |
| Credential | PHD |
| Practice Address |
601 W. St. Mary Blvd. Ste 406 Lafayette LA 70506 |
| Practice Telephone | 3372337867 |
| Practice Fax Number | 3372357199 |
| Mailing Telephone | 3372337867 |
| Mailing Fax Number | 3372357199 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
965 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Lsu Medicine Clinic, 2390 W Congress Street, Lafayette, LA 70506 | 3372616100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821487968 | Mary Agnes Freeman | Registered Nurse | 3005 W 74th St, Prairie Village, KS 66208-3228 | 2015-01-13 |
| 1780854646 | Mary Evelyn Freeman | Social Worker | 416 N Ferncreek Ave, Orlando, FL 32803-5432 | 2008-03-06 |
| 1710005715 | Mary Freeman | Social Worker | 137 E 94th St, New York, NY 10128-1701 | 2007-03-27 |
| 1588793095 | Mary Teresa Freeman | Counselor | 6045 Atlantic Blvd, Norcross, GA 30071-1304 | 2007-03-02 |
| 1982692992 | Mary Elizabeth Freeman | Marriage & Family Therapist | 503 Remington St, Suite 105, Fort Collins, CO 80524-3074 | 2005-10-12 |
| 1295343531 | Mary Alice Freeman | Social Worker | 577 Western Ave, Westfield, MA 01085-2580 | 2020-07-22 |
| 1801355011 | Mary Margaret Freeman | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-03-18 |
| 1558745943 | Mary Freeman | Speech-Language Pathologist | 4621 Us Highway 59, Grove, OK 74344-4237 | 2015-07-15 |
| 1104205970 | Mary Megan Freeman | Social Worker | 2602 Courtier Dr, Greenville, NC 27834 | 2015-05-26 |
| 1558796656 | Mary Elizabeth Freeman | Pharmacist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2013-09-08 |
| Street Address |
601 W. ST. MARY BLVD. STE 406 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621291 | Wesley Ward Ph.d LLC | Psychologist | 100 Saw Mill Rd Ste 3104, Lafayette, IN 47905-5598 | 2018-09-06 |
| 1396238275 | Lafayette Psychology Center, LLC | Psychologist | 905 Jefferson St Ste 410, Lafayette, LA 70501-7900 | 2018-06-14 |
| 1023468154 | Marilyn Steele | Psychologist | 965 Moraga Rd, Lafayette, CA 94549-4422 | 2016-06-20 |
| 1396012183 | Jesus Sanchez | Psychologist | 150 Old Laramie Trl Unit 120, Lafayette, CO 80026 | 2011-11-21 |
| 1992025720 | Amy E Cavanaugh Phd LLC | Psychologist | 4540 Ambassador Caffery Pkwy Ste C200, Lafayette, LA 70508-6930 | 2010-06-03 |
| 1972734242 | Bianchini-strother/boudreaux, LLC | Psychologist | 107 Regency Sq, Lafayette, LA 70508-4221 | 2009-08-04 |
| 1649423195 | Andrew Michaels | Psychologist | 3184 Old Tunnel Rd Ste A, Lafayette, CA 94549-4153 | 2008-10-28 |
| 1306023130 | Sonja Hellman | Psychologist | 1373 Forest Park Cir Ste 204, Lafayette, CO 80026-3193 | 2008-01-23 |
| 1174744239 | Suzanne Moselle Allen | Psychologist | 3249 Mt. Diablo Blvd., Suite 210, Lafayette, CA 94549 | 2007-05-02 |
| 1336360734 | Dai To | Psychologist | 3468 Mt Diablo Blvd Ste 201, Lafayette, CA 94549-3957 | 2007-05-01 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.