Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PS005550L | PA |
NPI | 1033272588 |
---|---|
Provider Name | Marsha Friedman |
First Address | Philadelphia, PA 19131-2619 |
Second Address | Philadelphia, PA 19131-2619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 07/06/2013 |