Provider Demographics
NPI:1215084132
Name:FRIEDBERG, NAOMI LABORDE (PHD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:LABORDE
Last Name:FRIEDBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W PINHOOK RD
Mailing Address - Street 2:STE 304
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3212
Mailing Address - Country:US
Mailing Address - Phone:337-234-4912
Mailing Address - Fax:337-234-6064
Practice Address - Street 1:2020 W PINHOOK RD
Practice Address - Street 2:STE 304
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3212
Practice Address - Country:US
Practice Address - Phone:337-234-4912
Practice Address - Fax:337-234-6064
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA786103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X361Medicare ID - Type Unspecified