Basic Information
| Provider Information | |||||||||
| NPI: | 1336239003 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FREEDLAND | ||||||||
| FirstName: | EILEEN | ||||||||
| MiddleName: | KAREN | ||||||||
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| Credential: | MSW, LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4857 MOTORWAY DR | ||||||||
| Address2: | |||||||||
| City: | WATERFORD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483283462 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486833145 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2550 S TELEGRAPH RD | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | BLOOMFIELD HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483020950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483220001 | ||||||||
| FaxNumber: | 2483220004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801032863 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.