Provider Demographics
NPI:1073754453
Name:FRIEDMAN, SARA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 BROOKRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-1513
Mailing Address - Country:US
Mailing Address - Phone:203-610-0998
Mailing Address - Fax:203-366-0750
Practice Address - Street 1:227 WINDERMERE ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-1543
Practice Address - Country:US
Practice Address - Phone:203-610-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001286106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist