Provider Demographics
NPI:1982683165
Name:FRIDAY, PAUL J (PHD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:FRIDAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CENTRE AVE
Mailing Address - Street 2:STE 612
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1326
Mailing Address - Country:US
Mailing Address - Phone:412-683-7396
Mailing Address - Fax:412-682-0502
Practice Address - Street 1:5200 CENTRE AVE
Practice Address - Street 2:STE 612
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1326
Practice Address - Country:US
Practice Address - Phone:412-683-7396
Practice Address - Fax:412-682-0502
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002382L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000030924Medicare ID - Type Unspecified