Provider Demographics
NPI:1861594855
Name:FRIEDMAN, SHIRLEY (EDD)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 680
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-664-1113
Mailing Address - Fax:713-661-4672
Practice Address - Street 1:6300 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 680
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-664-1113
Practice Address - Fax:713-661-4672
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22898103T00000X
TX000120042093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist