Sherri Fry-wendt Phd Llc | |
Northwoods Office Park 5744 N Broadway St Kansas City MO 64118-3998 | |
(816) 452-6200 | |
(816) 452-6202 |
Full Name | Sherri Fry-wendt Phd Llc |
---|---|
Speciality | Psychologist |
Location | Northwoods Office Park, Kansas City, Missouri |
Authorized Official Name and Position | Sherri D Fry-wendt (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 8164526200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sherri Fry-wendt Phd Llc 7708 N Walrond Ave Kansas City MO 64119-1557 Ph: (816) 694-6886 | Sherri Fry-wendt Phd Llc Northwoods Office Park 5744 N Broadway St Kansas City MO 64118-3998 Ph: (816) 452-6200 |
NPI Number | 1164909016 |
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Provider Enumeration Date | 07/24/2018 |
Last Update Date | 06/11/2021 |
Certification Date | 05/28/2021 |
Medicare PECOS PAC ID | 9335499268 |
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Medicare Enrollment ID | O20180913001980 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164909016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | PY01311 (Missouri) | Primary |
Provider Name | Sherri D Fry-wendt |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386793149 PECOS PAC ID: 5698714038 Enrollment ID: I20080701000446 |
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