MEDICARE: FREYA H. BARR LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149-003256	IL

General Provider Information

NPI Number	:	1649561895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREYA H. BARR LTD

Provider Business Mailing Address
First Line	:	466 CENTRAL
Second Line	:	SUITE #14
City	:	NORTH FIELD
State	:	IL
Zip	:	60093-3020
Country	:	US
Telephone Number	:	847-441-6999
Fax Number	:

Provider Business Practice Location Address
First Line	:	466 CENTRAL
Second Line	:	SUITE #14
City	:	NORTH FIELD
State	:	IL
Zip	:	60093-3020
Country	:	US
Telephone Number	:	847-441-6999
Fax Number	:

Authorized Official
Title or Position	:	OWNER-SOLE PRACTITIONER
Name	:	MRS. FREYA H. BARR
Credential	:	LCSW
Telephone Number	:	847-441-6999

Provider Enumeration Date	:	04/22/2011
Last Update Date	:	04/22/2011

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