Provider Demographics
NPI:1043332307
Name:FRIEDMAN, KAY SHARON (EDD)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:SHARON
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 24TH AVE N
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1520
Mailing Address - Country:US
Mailing Address - Phone:615-327-3620
Mailing Address - Fax:615-329-0659
Practice Address - Street 1:345 24TH AVE N
Practice Address - Street 2:SUITE 208
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1520
Practice Address - Country:US
Practice Address - Phone:615-327-3620
Practice Address - Fax:615-329-0659
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1489103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNS06151Medicare UPIN