Provider Demographics
NPI:1003090440
Name:SANFORD L. FRIEDLANDER
Entity Type:Organization
Organization Name:SANFORD L. FRIEDLANDER
Other - Org Name:MHM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANFORD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:FRIEDLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-543-5301
Mailing Address - Street 1:1264 HIGUERA ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-3124
Mailing Address - Country:US
Mailing Address - Phone:805-543-5301
Mailing Address - Fax:
Practice Address - Street 1:1264 HIGUERA ST
Practice Address - Street 2:SUITE 208
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3124
Practice Address - Country:US
Practice Address - Phone:805-543-5301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 34501106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty