Provider Demographics
NPI:1073739272
Name:FRIEDLAND, LILLI (PHD)
Entity Type:Individual
Prefix:
First Name:LILLI
Middle Name:
Last Name:FRIEDLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N. CANON DRIVE
Mailing Address - Street 2:SUITE 313
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-553-6445
Mailing Address - Fax:
Practice Address - Street 1:301 N CANON DR
Practice Address - Street 2:SUITE 313
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4722
Practice Address - Country:US
Practice Address - Phone:310-553-6445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4907103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY4907OtherCALIF LIC