Provider Demographics
NPI:1871168039
Name:FRIEDMAN, MIRIAM RACHEL (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:RACHEL
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-5758
Mailing Address - Country:US
Mailing Address - Phone:978-287-4195
Mailing Address - Fax:
Practice Address - Street 1:CARLETON-WILLARD VILLAGE
Practice Address - Street 2:100 OLD BILLERICA ROAD
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730
Practice Address - Country:US
Practice Address - Phone:781-275-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4276235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist