Friedman, Tia Nicole

Friedman, Tia Nicole is an individual health care provider with primary practice located at 4016 Raintree Rd Suite 240, Chesapeake VA 23321-3700. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Friedman, Tia Nicole can be contacted via phone (757) 488-2864.

Contact Information

Primary practice address
4016 Raintree Rd Suite 240 Chesapeake VA 23321-3700
Phone: (757) 488-2864
Fax: (757) 488-4735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X SZ4309 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202005784 Virginia

Profile Details

NPI number 1457546780
LBN Legal business name Friedman, Tia Nicole
Credentials M.A. CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Aug 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457546780 NPPES
Virginia MEDICAID 004979061

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