Provider Demographics
NPI:1639426299
Name:DAVID FRIEDLER, LMHC, LLC
Entity Type:Organization
Organization Name:DAVID FRIEDLER, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:617-515-4418
Mailing Address - Street 1:496 HARVARD ST. RM. 8
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2435
Mailing Address - Country:US
Mailing Address - Phone:617-515-4418
Mailing Address - Fax:617-344-0444
Practice Address - Street 1:496 HARVARD ST. RM. 8
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2435
Practice Address - Country:US
Practice Address - Phone:617-515-4418
Practice Address - Fax:617-344-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty