Joan M Frye, Phd | |
1134 Dow St Murfreesboro TN 37130-2486 | |
(615) 624-4494 | |
(615) 823-2879 |
Full Name | Joan M Frye, Phd |
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Speciality | Clinic/Center |
Location | 1134 Dow St, Murfreesboro, Tennessee |
Authorized Official Name and Position | Joan M Frye (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6156244494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joan M Frye, Phd 1134 Dow St Murfreesboro TN 37130-2486 Ph: (615) 624-4494 | Joan M Frye, Phd 1134 Dow St Murfreesboro TN 37130-2486 Ph: (615) 624-4494 |
NPI Number | 1518526383 |
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Provider Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |
Medicare PECOS PAC ID | 6507194198 |
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Medicare Enrollment ID | O20190820003704 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518526383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Joan Marie Frye |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467847897 PECOS PAC ID: 2567774888 Enrollment ID: I20150629003087 |
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