Doctor Name: | WILLIAM ARTHUR FREY |
NPI Number: | 1295099604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 189 Storrs Rd Mansfield Center, CT - 062501683 |
Business Phone Number: | 8604561311 |
Business Fax Number: | |
Mailing Address: | 189 Storrs Rd, MANSFIELD CENTER |
State: | CT |
Postal Code: | 062501683 |
Phone Number: | 8604561311 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2012 |
NPI Last Update Date: | 08/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |