Healthcare Provider Details

I. General information

NPI: 1316099138
Provider Name (Legal Business Name): MRS. BARBARA LYNNE FRIEDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14848 N CAVE CREEK RD #10
PHOENIX AZ
85032-4984
US

IV. Provider business mailing address

14848 N CAVE CREEK RD #10
PHOENIX AZ
85032-4984
US

V. Phone/Fax

Practice location:
  • Phone: 602-992-3520
  • Fax:
Mailing address:
  • Phone: 602-992-3520
  • Fax: 602-923-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1331
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: