MEDICARE: MARSHA J FRIEDMAN PHD

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	103TB0200X	Cognitive & Behavioral Psychologist	PS005550L	PA

General Provider Information

NPI Number	:	1033272588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA J FRIEDMAN PHD

Provider Business Mailing Address
First Line	:	8302 OLD YORK RD STE B2
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1529
Country	:	US
Telephone Number	:	215-514-3464
Fax Number	:

Provider Business Practice Location Address
First Line	:	8302 OLD YORK RD STE B2
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1529
Country	:	US
Telephone Number	:	215-514-3464
Fax Number	:

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	06/19/2025

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