Provider Demographics
NPI:1326135211
Name:FRIEDMAN, JUDITH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1408
Mailing Address - Country:US
Mailing Address - Phone:856-424-1592
Mailing Address - Fax:856-424-0609
Practice Address - Street 1:733 E ROUTE 70
Practice Address - Street 2:SUITE 303
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2300
Practice Address - Country:US
Practice Address - Phone:856-424-1592
Practice Address - Fax:856-424-0609
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00006000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ60350985OtherUNITED BEHAVIORAL HEALTH
NJ5151617OtherAETNA
NJ60350985OtherUNITED BEHAVIORAL HEALTH