Provider Demographics
NPI:1427758788
Name:MERRILL BETH FRIEDMAN MA LCMHC
Entity type:Organization
Organization Name:MERRILL BETH FRIEDMAN MA LCMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:MS
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCHMC
Authorized Official - Phone:603-340-0745
Mailing Address - Street 1:9 CRICKET HILL DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2019
Mailing Address - Country:US
Mailing Address - Phone:603-340-0745
Mailing Address - Fax:
Practice Address - Street 1:9 CRICKET HILL DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2019
Practice Address - Country:US
Practice Address - Phone:603-340-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty