Provider Demographics
NPI:1720594492
Name:FRIEDMAN, SAUNDRA (LMSW)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:SAUNDRA
Other - Middle Name:
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 GARTH RD APT 5B
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3847
Mailing Address - Country:US
Mailing Address - Phone:914-713-0033
Mailing Address - Fax:
Practice Address - Street 1:155 GARTH RD APT 5B
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3847
Practice Address - Country:US
Practice Address - Phone:646-623-4079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024466-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst