MEDICARE: SHANA FRIEDMAN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	MH11234	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013183425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANA FRIEDMAN MS

Provider Business Mailing Address
First Line	:	6900 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4931
Country	:	US
Telephone Number	:	786-662-8531
Fax Number	:	786-662-4649

Provider Business Practice Location Address
First Line	:	6900 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4931
Country	:	US
Telephone Number	:	786-662-8531
Fax Number	:	786-662-4649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	11/29/2016

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Directions to “ SHANA FRIEDMAN MS” Practice Location

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