Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | RP 213 | CA |
Y | 103T00000X | Psychologist | RP 213 | CA |
NPI | 1003196544 |
---|---|
Provider Name | Dr. Cheryl Friedman |
First Address | Laguna Hills, CA 92653-1548 |
Second Address | Laguna Hills, CA 92653-1548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2011 |
Last Update Date | 27/08/2011 |