Provider Demographics
NPI:1962796482
Name:FRIEDMAN, MIRANDA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MIRANDA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MIRANDA
Other - Middle Name:
Other - Last Name:MATHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2625 ATWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5041
Mailing Address - Country:US
Mailing Address - Phone:405-942-5570
Mailing Address - Fax:405-942-5603
Practice Address - Street 1:300 N MERIDIAN AVE
Practice Address - Street 2:SUITE 280-N
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-6560
Practice Address - Country:US
Practice Address - Phone:405-942-5570
Practice Address - Fax:405-942-5603
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health