Doctor Name: | MS. SANDRA A FRYREAR |
NPI Number: | 1407166457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | 072858 |
Business Practice Address: | 315 S Highland Ave Briarcliff Manor, NY - 105102031 |
Business Phone Number: | 9149235700 |
Business Fax Number: | 9149235790 |
Mailing Address: | 17 Brookview Ln, GARRISON |
State: | NY |
Postal Code: | 105247432 |
Phone Number: | 9149235700 |
Fax Number: | 9149235790 |
NPI Enumeration Date: | 10/08/2010 |
NPI Last Update Date: | 10/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |