Provider Demographics
NPI:1679147722
Name:FREEDLAND COELHO, KARI L (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:L
Last Name:FREEDLAND COELHO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:F
Other - Last Name:COELHO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:9802 E COSMOS CIR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2151
Mailing Address - Country:US
Mailing Address - Phone:954-257-1241
Mailing Address - Fax:
Practice Address - Street 1:2266 S DOBSON RD STE 200
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6412
Practice Address - Country:US
Practice Address - Phone:480-756-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ004188103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical