Healthcare Provider Details

I. General information

NPI: 1669910733
Provider Name (Legal Business Name): ELIZABETH FREIFELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 TREAT AVE
SAN FRANCISCO CA
94110-5234
US

IV. Provider business mailing address

1550 TREAT AVE.
SAN FRANICSCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 415-641-8000
  • Fax:
Mailing address:
  • Phone: 415-641-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: