Provider Demographics
NPI:1487951760
Name:FREEMAN, TERRY L (HAS NBC)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:L
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:HAS NBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 PLANTATION RD STE C4
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6217
Mailing Address - Country:US
Mailing Address - Phone:850-477-8202
Mailing Address - Fax:
Practice Address - Street 1:6707 PLANTATION RD STE C4
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6217
Practice Address - Country:US
Practice Address - Phone:850-477-8202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1437237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist