Individual
DR. GEORGE JAY FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
33 N MARKET ST STE 205, WAILUKU, HI 96793-1742
(808) 244-5500
(866) 288-7900
Mailing address
PO BOX 772, KULA, HI 96790-0772
(808) 244-5500
(866) 288-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-371
HI
103TA0700X
Adult Development & Aging Psychologist
PSY-371
HI
103TB0200X
Cognitive & Behavioral Psychologist
PSY-371
HI
103TC0700X
Clinical Psychologist
Primary
PSY-371
HI
103TC2200X
Clinical Child & Adolescent Psychologist
PSY-371
HI
103TF0000X
Family Psychologist
PSY-371
HI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY-371
HI
103TP2701X
Group Psychotherapy Psychologist
PSY-371
HI
103TS0200X
School Psychologist
PSY-371
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03204202
—
HI
01
—
R75203
UPIN
HI
Enumeration date
10/26/2006
Last updated
11/25/2008
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