| F. Charles Frey, Iv, Ph.d., L.l.c. | |
|
7414 Perkins Rd Ste 130 Baton Rouge LA 70808-4303 | |
| (225) 963-0709 | |
| (225) 612-7092 |
| Full Name | F. Charles Frey, Iv, Ph.d., L.l.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7414 Perkins Rd Ste 130, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Fred Charles Frey (OWNER/MANAGER) |
| Authorized Official Contact | 2259371449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F. Charles Frey, Iv, Ph.d., L.l.c. 1326 Meadow Lea Dr Baton Rouge LA 70808-8657 Ph: (225) 937-1449 | F. Charles Frey, Iv, Ph.d., L.l.c. 7414 Perkins Rd Ste 130 Baton Rouge LA 70808-4303 Ph: (225) 963-0709 |
| NPI Number | 1568238731 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568238731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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