Provider Demographics
NPI:1346522893
Name:FRIEDMAN, CHANA DEVORA (MA)
Entity Type:Individual
Prefix:
First Name:CHANA
Middle Name:DEVORA
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 8TH ST APT 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2816
Mailing Address - Country:US
Mailing Address - Phone:732-363-4160
Mailing Address - Fax:
Practice Address - Street 1:11 8TH ST APT 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2816
Practice Address - Country:US
Practice Address - Phone:732-363-4160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist