| Dr Michelle L Friedman Llc | |
|
3210 Hatton Rd Baltimore MD 21208-4515 | |
| (518) 253-9289 | |
| Not Available |
| Full Name | Dr Michelle L Friedman Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3210 Hatton Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Michelle Friedman (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5182539289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle L Friedman Llc 3210 Hatton Rd Baltimore MD 21208-4515 Ph: (518) 253-9289 | Dr Michelle L Friedman Llc 3210 Hatton Rd Baltimore MD 21208-4515 Ph: (518) 253-9289 |
| NPI Number | 1760965040 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7214289289 |
|---|---|
| Medicare Enrollment ID | O20181003001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760965040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michelle L Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821169558 PECOS PAC ID: 2668426867 Enrollment ID: I20150316000950 |
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