Provider Demographics
NPI:1720418510
Name:FRIED, BERNADINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BERNADINE
Middle Name:
Last Name:FRIED
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7729
Mailing Address - Country:US
Mailing Address - Phone:323-899-9115
Mailing Address - Fax:323-870-8200
Practice Address - Street 1:8530 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-7729
Practice Address - Country:US
Practice Address - Phone:323-899-9115
Practice Address - Fax:323-870-8200
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist