Provider Demographics
NPI:1043464852
Name:FRIEDLANDER, PATRICIA DEAN (MS, ED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DEAN
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:MS, ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 AUTUMN WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:NY
Mailing Address - Zip Code:12946-3634
Mailing Address - Country:US
Mailing Address - Phone:518-523-5882
Mailing Address - Fax:
Practice Address - Street 1:16 AUTUMN WAY
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946-3634
Practice Address - Country:US
Practice Address - Phone:518-523-5882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015196235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY015196OtherLICENCE NUMBER