Provider Demographics
NPI:1679810683
Name:FRIDDELL, CARRIE ELAINE (MTBC)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ELAINE
Last Name:FRIDDELL
Suffix:
Gender:F
Credentials:MTBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3652
Mailing Address - Country:US
Mailing Address - Phone:615-390-3207
Mailing Address - Fax:
Practice Address - Street 1:4407 PARK AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3652
Practice Address - Country:US
Practice Address - Phone:615-390-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist