Doctor Name: | PAMELA FRIEDEN |
NPI Number: | 1295753358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | 3630 |
Business Practice Address: | 141 N Main St Haysville, KS - 670601202 |
Business Phone Number: | 3162008977 |
Business Fax Number: | 3165245171 |
Mailing Address: | 1121 W Grand Ave, HAYSVILLE |
State: | KS |
Postal Code: | 670601259 |
Phone Number: | 3165229063 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |