Provider Demographics
NPI:1972692762
Name:FREEMAN, ALICE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:MARIE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GUILD ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3467
Mailing Address - Country:US
Mailing Address - Phone:781-762-5470
Mailing Address - Fax:781-762-4713
Practice Address - Street 1:60 GUILD ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3467
Practice Address - Country:US
Practice Address - Phone:781-762-5470
Practice Address - Fax:781-762-4713
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA547422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B97981Medicare UPIN
MAJ06150Medicare ID - Type Unspecified