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NPI Code Detail

MEDICARE: MYISHA FREEMAN

MEDICARE: MYISHA FREEMAN
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
1104100000XSocial Worker
2101Y00000XCounselor

General Provider Information

NPI Number : 1063958916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYISHA FREEMAN
Provider Business Mailing Address
First Line : 6128 PICCADILLY CT
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-8553
Country : US
Telephone Number : 717-649-6414
Fax Number :
Provider Business Practice Location Address
First Line : 297 CARE ST
Second Line :
City : HARRISBURG
State : PA
Zip : 17109-1521
Country : US
Telephone Number : 717-272-5464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2017
Last Update Date : 04/03/2026

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Directions to “ MYISHA FREEMAN ” Practice Location

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