Provider Demographics
NPI:1467480798
Name:FRIEDMAN, MARGARET S (PSY,D)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:S
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PSY,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17215 N 72ND DR
Mailing Address - Street 2:STE D140-A
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8558
Mailing Address - Country:US
Mailing Address - Phone:623-533-7575
Mailing Address - Fax:623-487-9631
Practice Address - Street 1:17215 N 72ND DR
Practice Address - Street 2:D-140A
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8558
Practice Address - Country:US
Practice Address - Phone:623-533-7575
Practice Address - Fax:623-487-9631
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3447103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5582711OtherAETNA
AZ016167OtherVALUEOPTIONS
AZ250487OtherMHN
AZ594162000OtherMAGELLAN HEALTH SERVICES
AZ6143495OtherUNITED BEHAVIORAL HEALTH
AZ196982OtherGHI
AZ5582711OtherAETNA