MEDICARE: MS. CLAIRE KATHERINE FRIEDMAN MFT

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	106H00000X	Marriage & Family Therapist	50468	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50468	OTHER	CA	BOARD OF BEHAVIORAL SCIENCE

General Provider Information

NPI Number	:	1770828196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAIRE KATHERINE FRIEDMAN MFT

Provider Business Mailing Address
First Line	:	321 FLORA LN
Second Line	:
City	:	SCOTTS VALLEY
State	:	CA
Zip	:	95066-4976
Country	:	US
Telephone Number	:	650-386-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	8030 SOQUEL AVE
Second Line	:	SUITE 130
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2096
Country	:	US
Telephone Number	:	650-464-2315
Fax Number	:

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

Provider Enumeration Date	:	12/11/2012
Last Update Date	:	06/27/2016

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