Doctor Name: | MRS. JENNIFER J FRYE |
NPI Number: | 1720307275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LSW |
License Number: | 33005753A |
Business Practice Address: | 1443 Ninth St Tell City, IN - 475860366 |
Business Phone Number: | 8125477905 |
Business Fax Number: | 8125475146 |
Mailing Address: | P.o. Box 769, JASPER |
State: | IN |
Postal Code: | 475470769 |
Phone Number: | 8124823020 |
Fax Number: | 8124826409 |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 33005753A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |