Provider Demographics
NPI:1457369654
Name:FRIEDMAN, VIVIAN KATZENSTEIN (PHD)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:KATZENSTEIN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:KATZENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:2205 CAHABA VALLEY DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2602
Practice Address - Country:US
Practice Address - Phone:205-968-1227
Practice Address - Fax:334-218-5815
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL398103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL612812OtherUBH-PLUS
AL3300000005OtherMEDICAID REHAB
AL6129811OtherUBH-BASIC
AL000070786OtherBLUE CROSS
AL051501317OtherBC FEDERAL EHBP
ALS02585OtherVIVA