Individual
MARK J FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
72 OVERLOOK RD, UPPER MONTCLAIR, NJ 07043-2021
(973) 746-1176
(973) 746-1176
Mailing address
72 OVERLOOK RD, UPPER MONTCLAIR, NJ 07043-2021
(973) 746-1176
(973) 746-1176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558706
—
NJ
Enumeration date
12/04/2006
Last updated
07/08/2007
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