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NPI Code Detail

MEDICARE: MS. HARRIET G. FRIEDMAN MA

MEDICARE: MS. HARRIET G. FRIEDMAN MA
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
1103TC0700XClinical Psychologist1955OH

Other Identifiers

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

General Provider Information

NPI Number : 1629376298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HARRIET G. FRIEDMAN MA
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : 3RD FLOOR
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : RB&C MAILSTOP 6010
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-368-3057
Fax Number : 216-368-4832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 08/03/2011

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