Provider Demographics
NPI:1528291580
Name:FRIEDMAN, MARCIE F (MT-BC, NMT)
Entity type:Individual
Prefix:MRS
First Name:MARCIE
Middle Name:F
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18484 PRESTON RD STE 102-150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5400
Mailing Address - Country:US
Mailing Address - Phone:972-769-9999
Mailing Address - Fax:888-999-4113
Practice Address - Street 1:18484 PRESTON RD STE 102-150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5400
Practice Address - Country:US
Practice Address - Phone:972-769-9999
Practice Address - Fax:888-999-4113
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06612225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist