Provider Demographics
NPI:1013358498
Name:FRIEDMAN, SUZANNE C (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:C
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13732 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5418
Mailing Address - Country:US
Mailing Address - Phone:301-792-6030
Mailing Address - Fax:
Practice Address - Street 1:13732 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5418
Practice Address - Country:US
Practice Address - Phone:301-792-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000779103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist