Jeffrey Fremont PHD
Organization Active NPI Community/Behavioral Health Agency · Forty Fort, PA
NPI 1316528680 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1316528680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- JEFFREY FREMONT PHD
- Practice address
- 1264 Wyoming Ave
Forty Fort, PA 18704-4138 - Phone
- (570) 288-8795
- Fax
- (570) 288-3165
- NPI assigned
- Apr 19, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- -
Authorized official
- Name
- Jane Andrews
- Title
- Administrative Director
- Phone
- (570) 288-8795
Practitioners 3
-
Denise Marie Carey, LSW
-
Jeffrey Fremont, PHD
-
Alan Petroski, PHD
National Provider Directory
- Part of
- Jeffrey Fremont PHD
Locations
1264 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-8795
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1264 Wyoming Ave
Forty Fort, PA 18704-4138
Mailing address
1264 Wyoming Ave
Forty Fort, PA 18704-4138
Phone (570) 288-8795
Other names
- Jeffrey Fremont PhD and Associates
Other providers in Forty Fort, PA
- Christine Henn
- Erin Nicole Holby
- Jessica Hubbard
- Rita Biggers Hughes
- Laura Janov
- John Della Rosa, MD
- John P Brady MD PC
- Christine Jones
- Melissa Jones
- Joseph P. Chollak, Jr., M.D.
All providers in Forty Fort, PA · Community/Behavioral Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.