Larry Mark Friedberg, Ph.D.
Psychologist, Clinical in Bingham Farms, MI. Individual provider (NPI-1).
NPI number1053486142
StatusActive
Last updated in NPPESDec 27, 2019
Details
- NPI
- 1053486142
- Entity type
- Individual (NPI-1)
- Name
- Larry Mark Friedberg
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2006
- Certification date
- Dec 27, 2019
- Last updated
- Dec 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301005034 | MI | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 6301005034 | MI | |
| 103TA0700X | Psychologist, Adult Development & Aging | 6301005034 | MI | |
| 103TF0000X | Psychologist, Family | 6301005034 | MI | |
| 103TF0200X | Psychologist, Forensic | 6301005034 | MI | |
| 103TF0200X | Psychologist, Forensic | – | – | |
| 103T00000X | Psychologist | 6301005034 | MI |
Practice location
31600 Telegraph RoadSuite 250
Bingham Farms, MI 48025-4372
Phone 248-965-9532 · Fax 248-671-3203
Mailing address
31600 Telegraph RoadSuite 250
Bingham Farms, MI 48025-4372
Phone 248-965-9532 · Fax 248-671-3203
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