Provider Demographics
NPI:1144551573
Name:FREEL, ANNETTE A (MS)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:A
Last Name:FREEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 554
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403
Mailing Address - Country:US
Mailing Address - Phone:859-200-1990
Mailing Address - Fax:859-986-0544
Practice Address - Street 1:164 PLAZA DR.
Practice Address - Street 2:SUITE D
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403
Practice Address - Country:US
Practice Address - Phone:859-200-1990
Practice Address - Fax:859-986-0544
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical