Provider Demographics
NPI:1023132917
Name:FRIEDLER, MARUTA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARUTA
Middle Name:
Last Name:FRIEDLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E 72ND ST
Mailing Address - Street 2:9B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4684
Mailing Address - Country:US
Mailing Address - Phone:212-439-6751
Mailing Address - Fax:212-439-6751
Practice Address - Street 1:28 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2532
Practice Address - Country:US
Practice Address - Phone:908-522-9595
Practice Address - Fax:212-439-6751
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100276400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical