Individual
KATHRINE BAKKE-FRIEDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1600 S GEORGE ST, YORK, PA 17403-4508
(717) 812-4200
(717) 845-4791
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4200
(717) 845-4791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS009060L
PA
103TC0700X
Clinical Psychologist
Primary
PS009060L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103009773
—
PA
01
—
162742
VALUE OPTIONS
PA
01
—
2190132
CIGNA BH
PA
01
—
276786000
MAGELLAN
PA
01
—
383185
MAMSI
PA
01
—
467359
PA BLUE SHEILD
PA
01
—
50030622
CAPITAL BLUE CROSS
PA
01
—
60803201
CAREFIRST MARYLAND BCBS
PA
Enumeration date
06/29/2006
Last updated
06/10/2016
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