Healthcare Provider Details

I. General information

NPI: 1497921944
Provider Name (Legal Business Name): RENEE ANNE FREUND M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 KINDERKAMACK ROAD SUITE 101
ORADELL NJ
07649-9851
US

IV. Provider business mailing address

690 KINDERKAMACK ROAD SUITE 101
ORADELL NJ
07649-9851
US

V. Phone/Fax

Practice location:
  • Phone: 201-722-9850
  • Fax: 201-722-9851
Mailing address:
  • Phone: 201-722-9850
  • Fax: 201-722-9851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00063800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: