Individual
DR. VICTOR I FRIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
315 YORKTOWN PLAZA, ELKINS PARK, PA 19027
(215) 938-0671
Mailing address
953 MANOR AVE, MEADOWBROOK, PA 19046
(215) 938-0671
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002515L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01687636
—
PA
01
—
07337967
MA
PA
01
—
680010801
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
02/22/2010
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