Provider Demographics
NPI:1700378296
Name:FRIEDMAN, ISAAC M (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:M
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 1:6506 STEERFORTH CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2524
Mailing Address - Country:US
Mailing Address - Phone:443-257-1270
Mailing Address - Fax:
Practice Address - Street 1:7300 CALHOUN PL STE 700
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-3702
Practice Address - Country:US
Practice Address - Phone:240-777-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06032103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent