Provider Demographics
NPI:1508942988
Name:FRIEDMAN, JOANNE Z (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:Z
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DODGE RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1405
Mailing Address - Country:US
Mailing Address - Phone:978-927-6587
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 429K
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6222
Practice Address - Country:US
Practice Address - Phone:978-927-6587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA290103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01598Medicare ID - Type UnspecifiedMEDICARE ID