Provider Demographics
NPI:1447548870
Name:FRIEDBERG, KAREN P (MA LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:FRIEDBERG
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8747 - 81612
Mailing Address - Street 2:54 SHADY LANE
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81612
Mailing Address - Country:US
Mailing Address - Phone:970-925-6729
Mailing Address - Fax:970-925-1702
Practice Address - Street 1:54 SHADY LANE
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-8747
Practice Address - Country:US
Practice Address - Phone:970-925-6729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORF867NRMedicare PIN