Provider Demographics
NPI:1215125034
Name:FRIEDMAN, HOWARD RONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:RONALD
Last Name:FRIEDMAN
Suffix:
Gender:M
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:PO BOX 5462
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37831-5462
Mailing Address - Country:US
Mailing Address - Phone:865-531-2060
Mailing Address - Fax:
Practice Address - Street 1:300 TYLER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-8827
Practice Address - Country:US
Practice Address - Phone:865-531-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP.67103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist