601 W. ST. MARY BLVD. STE 406
LAFAYETTE, LA 70506 US PECOS Enrolled
Mary Lucille Freeman
Clinical Psychologist
- LAFAYETTE, LA
- Phone: (337)-233-7867
- Last Updated 10/22/2019
Overview
Mary Lucille Freeman is a Clinical Psychologist in the LAFAYETTE area and has over 22 years of experience. Mary Lucille Freeman primary office location is at 601 W. ST. MARY BLVD. STE 406 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2002 The NPI number is 1205858008 and the information was updated approximately 5 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 965 | LA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Psychologist - Taxonomy Code 103TC0700X | LA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050304000797 |
| PECOS Individual PAC ID: | 2466406152 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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