MEDICARE: VIVIAN KATZENSTEIN 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	103TC0700X	Clinical Psychologist	398	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	612812	OTHER	AL	UBH-PLUS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6129811	OTHER	AL	UBH-BASIC
4	000070786	OTHER	AL	BLUE CROSS
5	051501317	OTHER	AL	BC FEDERAL EHBP
6	S02585	OTHER	AL	VIVA

General Provider Information

NPI Number	:	1457369654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN KATZENSTEIN FRIEDMAN PHD

Provider Business Mailing Address
First Line	:	PO BOX 55310
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35255-5310
Country	:	US
Telephone Number	:	205-731-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 CAHABA VALLEY DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2602
Country	:	US
Telephone Number	:	205-968-1227
Fax Number	:	334-218-5815

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	05/05/2023

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