Provider Demographics
NPI:1043379407
Name:FRIEDLANDER, SANFORD LOUIS (LMFT)
Entity Type:Individual
Prefix:MR
First Name:SANFORD
Middle Name:LOUIS
Last Name:FRIEDLANDER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:1999 CORRALITOS AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2611
Practice Address - Country:US
Practice Address - Phone:805-543-5301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34501106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist