Provider Demographics
NPI:1801004833
Name:FRIEDMAN, BARRY STEVEN (PHD, MFT)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:STEVEN
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 HOLYROOD DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2543
Mailing Address - Country:US
Mailing Address - Phone:510-499-6900
Mailing Address - Fax:
Practice Address - Street 1:3151 HOLYROOD DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2543
Practice Address - Country:US
Practice Address - Phone:510-499-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29838106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC29838OtherLICENSED MFT