GARY FREEDMAN-HARVEY


Address: 909 Electric Ave Ste 202, Seal Beach, CA 90740-6336
Phone: 5624932244

GARY FREEDMAN-HARVEY (NPI# 1659404127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659404127
Entity Type Individual
Full Name GARY FREEDMAN-HARVEY
Credential PH.D.
Practice Address 909 Electric Ave Ste 202
Seal Beach
CA 90740-6336
Practice Telephone 5624932244
Practice Fax Number 5624930644
Mailing Telephone 5624932244
Mailing Fax Number 5624930644
Enumeration Date 2007-03-14
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY11419 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PSY114190 05

Office Location

Street Address 909 ELECTRIC AVE STE 202
City SEAL BEACH
State CA
Zip Code 90740-6336

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1326181520 Jorge Mario Juarez-asturias Psychologist 610 Pacific Coast Hwy, Suite 205, Seal Beach, CA 90740-6604 2007-02-15
1770684979 Sandra Lee Smith Psychologist 909 Electric Ave, Suite 212, Seal Beach, CA 90740-6336 2006-09-26

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Competitor

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City SEAL BEACH
Zip Code 90740

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Dataset Information

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.

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