Provider Demographics
NPI:1285176503
Name:HOWARD J. FRIEDMAN, PHD., ABPP, PSYCHOLOGIST, INC.
Entity type:Organization
Organization Name:HOWARD J. FRIEDMAN, PHD., ABPP, PSYCHOLOGIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:925-933-5594
Mailing Address - Street 1:1855 SAN MIGUEL DRIVE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5290
Mailing Address - Country:US
Mailing Address - Phone:925-933-5594
Mailing Address - Fax:925-933-0679
Practice Address - Street 1:1855 SAN MIGUEL DRIVE
Practice Address - Street 2:SUITE 23
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5290
Practice Address - Country:US
Practice Address - Phone:925-933-5594
Practice Address - Fax:925-933-0679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7986103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty