Provider Demographics
NPI:1386851327
Name:FRYDMAN, DONNA HEARN (LMHC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:HEARN
Last Name:FRYDMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 N FEDERAL HWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1608
Mailing Address - Country:US
Mailing Address - Phone:561-998-0866
Mailing Address - Fax:561-241-5042
Practice Address - Street 1:7601 N FEDERAL HWY STE 165B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1608
Practice Address - Country:US
Practice Address - Phone:561-998-0866
Practice Address - Fax:561-241-5042
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health