| Dr. Nancy Fry, Llc | |
|
1201 Wakarusa Dr # E103 Lawrence KS 66049-4722 | |
| (913) 226-8171 | |
| Not Available |
| Full Name | Dr. Nancy Fry, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1201 Wakarusa Dr # E103, Lawrence, Kansas |
| Authorized Official Name and Position | Nancy M Fry (PSYCHOLOGIST) |
| Authorized Official Contact | 9132268171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nancy Fry, Llc 5302 W 99th Ter Overland Park KS 66207-3110 Ph: (913) 226-8171 | Dr. Nancy Fry, Llc 1201 Wakarusa Dr # E103 Lawrence KS 66049-4722 Ph: (913) 226-8171 |
| NPI Number | 1255821526 |
|---|---|
| Provider Enumeration Date | 05/12/2018 |
| Last Update Date | 05/12/2018 |
| Medicare PECOS PAC ID | 3375898505 |
|---|---|
| Medicare Enrollment ID | O20180612001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255821526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1967 (Kansas) | Primary |
| Provider Name | Nancy M Fry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811438112 PECOS PAC ID: 7214212307 Enrollment ID: I20170403001600 |
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