Provider Demographics
NPI:1649099466
Name:FRIEDMAN, MARAH (DR)
Entity type:Individual
Prefix:
First Name:MARAH
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 HILL COUNTRY BLVD STE R-130
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-7191
Mailing Address - Country:US
Mailing Address - Phone:512-831-7342
Mailing Address - Fax:
Practice Address - Street 1:12600 HILL COUNTRY BLVD STE R-130
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-7191
Practice Address - Country:US
Practice Address - Phone:512-831-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40131103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist