Provider Demographics
NPI:1093874299
Name:PODOLSKY, FRIEDA (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:FRIEDA
Middle Name:
Last Name:PODOLSKY
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 N FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3304
Mailing Address - Country:US
Mailing Address - Phone:610-372-8822
Mailing Address - Fax:610-372-6626
Practice Address - Street 1:244 N FIFTH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3304
Practice Address - Country:US
Practice Address - Phone:610-372-8822
Practice Address - Fax:610-372-6626
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional