Doctor Name: | MRS. SUSAN E. FRIEDENBERGER |
NPI Number: | 1033185723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | PC002664 |
Business Practice Address: | 400 Lakemont Park Blvd Suite 100 Altoona, PA - 166025967 |
Business Phone Number: | 8149465411 |
Business Fax Number: | 8145691189 |
Mailing Address: | 201 Chestnut Ave, ALTOONA |
State: | PA |
Postal Code: | 166014927 |
Phone Number: | 8149465411 |
Fax Number: | 8149408471 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC002664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |