Provider Demographics
NPI:1780883157
Name:FRIEDMAN, LOIS ANN (MA/CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ANN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:MS
Other - First Name:LOIS
Other - Middle Name:ANN
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA/CCC-SLP
Mailing Address - Street 1:513 BEACONS CT
Mailing Address - Street 2:APT A1
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7073
Mailing Address - Country:US
Mailing Address - Phone:215-633-0870
Mailing Address - Fax:
Practice Address - Street 1:513 BEACONS CT
Practice Address - Street 2:APT A1
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7073
Practice Address - Country:US
Practice Address - Phone:215-633-0870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000615L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist