Healthcare Provider Details

I. General information

NPI: 1821952052
Provider Name (Legal Business Name): SUZANNE FREEDBERG PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MARIE AVE # 3
CAMBRIDGE MA
02139-1002
US

IV. Provider business mailing address

11 MARIE AVE # 3
CAMBRIDGE MA
02139-1002
US

V. Phone/Fax

Practice location:
  • Phone: 617-943-0227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number33897
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number33897
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: