Healthcare Provider Details

I. General information

NPI: 1851809917
Provider Name (Legal Business Name): FREEMAN-ZUMSTEIN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 PROVIDENCE RD STE 5
CHAPEL HILL NC
27514-2206
US

IV. Provider business mailing address

313 AZALEA DR
CHAPEL HILL NC
27517-9120
US

V. Phone/Fax

Practice location:
  • Phone: 919-272-8008
  • Fax:
Mailing address:
  • Phone: 919-272-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1643
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC002556
License Number StateNC

VIII. Authorized Official

Name: RONALD A ZUMSTEIN
Title or Position: OWNER/MEMBER
Credential: LCSW
Phone: 919-272-8008