Provider Demographics
NPI:1881800423
Name:FRIEDMAN, JUDITH VERONICA (MSW)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:VERONICA
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 BATHURST ST.
Mailing Address - Street 2:APT #1004
Mailing Address - City:TORONTO
Mailing Address - State:ONT
Mailing Address - Zip Code:M6A2Y5
Mailing Address - Country:CA
Mailing Address - Phone:416-783-2952
Mailing Address - Fax:416-783-1766
Practice Address - Street 1:3636 BATHURST ST.
Practice Address - Street 2:APT #1004
Practice Address - City:TORONTO
Practice Address - State:ONT
Practice Address - Zip Code:M6A2Y5
Practice Address - Country:CA
Practice Address - Phone:416-783-2952
Practice Address - Fax:416-783-1766
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist