MEDICARE: PATRICIA C FRIEDMAN LPC

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	101YP2500X	Professional Counselor	2029	TN

General Provider Information

NPI Number	:	1467927830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA C FRIEDMAN LPC

Provider Business Mailing Address
First Line	:	2101 MAGNOLIA AVE S STE 518
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2853
Country	:	US
Telephone Number	:	205-251-7753
Fax Number	:	205-251-7760

Provider Business Practice Location Address
First Line	:	8566 CORDES CIR
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-3317
Country	:	US
Telephone Number	:	901-755-8111
Fax Number	:	901-300-2933

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

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	10/11/2018

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