Bruce Martin Freedman, PH.D.
Individual provider Active NPI Clinical Psychologist · Bloomfield, CT
NPI 1821145467 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821145467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1002 (CT)
- Practice address
- 6 Northwestern Dr Ste 306
Bloomfield, CT 06002-3428 - Phone
- (860) 242-3702
- Fax
- (860) 242-1964
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001002 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1002 | CT | Yes |
Addresses
Primary practice location
6 Northwestern Dr Ste 306
Bloomfield, CT 06002-3428
Mailing address
6 Northwestern Dr Ste 306
Bloomfield, CT 06002-3428
Phone (860) 242-3702
Other providers in Bloomfield, CT
- Laura Fontaine
- Jennifer Ann Fournier
- Abigail K Francis
- Monique Fray
- Free Spirit Psychotherapy, LLC
- Lisa Fritch
- Lori L. Fritts
- Eleanor Marie Fritz
- Lelieth Furze
- Andrew G Gabow
All providers in Bloomfield, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.