Individual
TARA FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
6345 GLEN OAKS LN NE, SANDY SPRINGS, GA 30328-8200
(404) 550-1944
(678) 974-2464
Mailing address
6345 GLEN OAKS LN NE, SANDY SPRINGS, GA 30328-8200
(404) 550-1944
(678) 974-2464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460266080B
—
GA
Enumeration date
04/22/2009
Last updated
11/17/2011
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