Doctor Name: | MR. ADAM DEREK FRIEDMAN |
NPI Number: | 1316085673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LMHC |
License Number: | 6174 |
Business Practice Address: | 116 State Rd Unit 1 Sagamore Beach, MA - 025622317 |
Business Phone Number: | 7748363738 |
Business Fax Number: | 8665413120 |
Mailing Address: | Po Box 1224, SAGAMORE BEACH |
State: | MA |
Postal Code: | 025621224 |
Phone Number: | 7748363738 |
Fax Number: | 8665413120 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |