Healthcare Provider Details

I. General information

NPI: 1013097369
Provider Name (Legal Business Name): LOIS FRIEDMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/07/2025
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 CLAGUE RD
WESTLAKE OH
44145-1582
US

IV. Provider business mailing address

24701 EUCLID AVE 3RD FLOOR
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 440-986-0693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2-2209
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6305
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: