Provider Demographics
NPI:1124356704
Name:FRIEDMAN, MARLA W (PSYD)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:W
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 REMINGTON RD STE M
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4822
Mailing Address - Country:US
Mailing Address - Phone:630-510-3966
Mailing Address - Fax:630-708-0976
Practice Address - Street 1:1350 REMINGTON RD STE M
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4822
Practice Address - Country:US
Practice Address - Phone:630-510-3966
Practice Address - Fax:630-708-0976
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071---4275103TC0700X
IL071004275103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical