| Jeffrey Friedman, Phd, Psychologist, Inc | |
|
956 Walnut St Ste 20 San Luis Obispo CA 93401-1707 | |
| (805) 545-9410 | |
| (805) 545-9476 |
| Full Name | Jeffrey Friedman, Phd, Psychologist, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 956 Walnut St Ste 20, San Luis Obispo, California |
| Authorized Official Name and Position | Jeffrey Steven Friedman (PRESIDENT) |
| Authorized Official Contact | 8055459410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Friedman, Phd, Psychologist, Inc 1015 Nipomo St Ste 230 San Luis Obispo CA 93401-3874 Ph: (805) 545-9410 | Jeffrey Friedman, Phd, Psychologist, Inc 956 Walnut St Ste 20 San Luis Obispo CA 93401-1707 Ph: (805) 545-9410 |
| NPI Number | 1659382182 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 4183786932 |
|---|---|
| Medicare Enrollment ID | O20090103000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659382182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY9763 (California) | Primary |
| Provider Name | Jeffrey Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861668469 PECOS PAC ID: 3274695028 Enrollment ID: I20090713000066 |
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