| Doctor Name: | DR. JAMES GORDON FRIESEN |
| NPI Number: | 1548494354 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PSY7018 |
| Business Practice Address: | 11145 Tampa Ave Suite 23a Porter Ranch, CA - 91326 |
| Business Phone Number: | 8188934463 |
| Business Fax Number: | |
| Mailing Address: | 9018 Balboa Bl., #538 NORTHRIDGE |
| State: | CA |
| Postal Code: | 91325 |
| Phone Number: | 8188934463 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY7018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |