Jeffrey Fremont PHD
NPI #1316528680 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1316528680
- Entity Type
- Organization
- Organization Name
- Jeffrey Fremont PHD
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- -
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 1264 WYOMING AVE
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4138
- Phone
- (570) 288-8795
Authorized Official
- Name
- JANE ANDREWS
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (570) 288-8795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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