Doctor Name: | TIA NICOLE FRIEDMAN |
NPI Number: | 1457546780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CFY-SLP |
License Number: | SZ4309 |
Business Practice Address: | 4016 Raintree Rd Suite 240 Chesapeake, VA - 233213700 |
Business Phone Number: | 7574882864 |
Business Fax Number: | 7574884735 |
Mailing Address: | 4016 Raintree Rd, Suite 240 CHESAPEAKE |
State: | VA |
Postal Code: | 233213700 |
Phone Number: | 7574882864 |
Fax Number: | 7574884735 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 08/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | SZ4309 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |