Provider Demographics
NPI:1750386694
Name:FRIEDMAN, JUDITH A (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 N 29TH AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1518
Mailing Address - Country:US
Mailing Address - Phone:954-922-8520
Mailing Address - Fax:
Practice Address - Street 1:2750 N 29TH AVENUE
Practice Address - Street 2:STE 208
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1518
Practice Address - Country:US
Practice Address - Phone:954-922-8520
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00002711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical