Individual
KELLI E FRIEDMAN
Active
Individual
KELLI E FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
046C8
NC
Enumeration date
10/23/2006
Last updated
11/21/2007
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