Friel, John Charles

Friel, John Charles is an sole proprietor health care provider with primary practice located at 401 San Vicente Blvd Suite C, Santa Monica CA 90402-1744. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Friel, John Charles can be contacted via phone (310) 422-8233.

Contact Information

Primary practice address
401 San Vicente Blvd Suite C Santa Monica CA 90402-1744
Phone: (310) 422-8233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35SI00377600 New Jersey
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 17493 California

Profile Details

NPI number 1316025240
LBN Legal business name Friel, John Charles
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 26th, 2008 - about 16 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 1316025240 NPPES
New Jersey MEDICAID 9090002

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