Provider Demographics
NPI:1154737203
Name:FRIEDMAN, DANIELLE SAMANTHA (BSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SAMANTHA
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4689 PALO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2909
Mailing Address - Country:US
Mailing Address - Phone:561-596-9693
Mailing Address - Fax:
Practice Address - Street 1:4689 PALO VERDE DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-2909
Practice Address - Country:US
Practice Address - Phone:561-596-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health