Provider Demographics
NPI:1710132113
Name:FRIEDMAN, JUDITH ANN (PHD, MFCC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PHD, MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 OCEAN FRONT WALK #1
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-7582
Mailing Address - Country:US
Mailing Address - Phone:310-821-3328
Mailing Address - Fax:310-301-1019
Practice Address - Street 1:6301 OCEAN FRONT WALK # 1
Practice Address - Street 2:
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7582
Practice Address - Country:US
Practice Address - Phone:310-821-3328
Practice Address - Fax:310-301-1019
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 20894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist