Doctor Name: | LAURA KAY FREIDNER |
NPI Number: | 1184906265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | C.0900552 |
Business Practice Address: | 1965 Newark Granville Rd Granville, OH - 430239171 |
Business Phone Number: | 7403341373 |
Business Fax Number: | |
Mailing Address: | 80 Sunset Dr, GRANVILLE |
State: | OH |
Postal Code: | 430231254 |
Phone Number: | 7403341373 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C.0900552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |