Provider Demographics
NPI:1619216595
Name:FRIEDLANDER, LOIS (MA, MFT, CGP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:MA, MFT, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 MILLER AVE
Mailing Address - Street 2:SUITE 'D'
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2844
Mailing Address - Country:US
Mailing Address - Phone:415-383-3337
Mailing Address - Fax:415-381-4555
Practice Address - Street 1:311 MILLER AVE
Practice Address - Street 2:SUITE 'D'
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2844
Practice Address - Country:US
Practice Address - Phone:415-383-3337
Practice Address - Fax:415-381-4555
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist