| Thomas D. Friedrichs Ph.d. P.c. | |
|
5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 | |
| (404) 257-9991 | |
| (404) 257-0299 |
| Full Name | Thomas D. Friedrichs Ph.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5605 Glenridge Dr Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Thomas D Friedrichs (OWNER/PRESIDENT) |
| Authorized Official Contact | 4042579991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D. Friedrichs Ph.d. P.c. 5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 Ph: (404) 257-9991 | Thomas D. Friedrichs Ph.d. P.c. 5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 Ph: (404) 257-9991 |
| NPI Number | 1407116387 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Medicare PECOS PAC ID | 3577727544 |
|---|---|
| Medicare Enrollment ID | O20120605000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407116387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY000327 (Georgia) | Primary |
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