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FREEMAN M CHAKARA PSY.D.

Clinical Neuropsychologist

Leola, Pennsylvania

Provider NPI: 1336190966

Provider Information:
 FREEMAN M CHAKARA PSY.D.
Gender: M
Sole Proprietor


Practice Location:
219 W MAIN ST  LEOLA, PA 17540 US
Tel: 717-556-0149  Fax: 717-556-0149

Business Mailing Address:
2003 OLD ROTHSVILLE RD  LITITZ, PA 17543 US
Tel: 717-556-0149  Fax: 717-556-0149

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PAPS009409
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
PAPS009409
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
PAPS009409

Other Provider Identifiers:

IssuerNumberStateType
GATEWAY MEDICARE ASSURED1548470PA01
RAILROAD MEDICARE680015251PA01
HIGHMARK BLUE SHIELD001334567PA01
0018978580002PA05
CAPITAL BLUE CROSS02271001PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS PA - Page 1

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