Provider Demographics
NPI:1063702850
Name:FREEMAN, MARCIE ANNE
Entity type:Individual
Prefix:MS
First Name:MARCIE
Middle Name:ANNE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 OLIVE ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2642
Mailing Address - Country:US
Mailing Address - Phone:541-344-7303
Mailing Address - Fax:541-686-6283
Practice Address - Street 1:576 OLIVE ST
Practice Address - Street 2:SUITE 307
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2642
Practice Address - Country:US
Practice Address - Phone:541-344-7303
Practice Address - Fax:541-686-6283
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst