Provider Demographics
NPI:1760072607
Name:FRIEDMAN, LISA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 ADIRONDACK LN
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-8301
Mailing Address - Country:US
Mailing Address - Phone:909-519-1963
Mailing Address - Fax:
Practice Address - Street 1:150 N SANTA ANITA AVE STE 800
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3129
Practice Address - Country:US
Practice Address - Phone:909-519-1963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA154675106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist