MEDICARE: ANTHONY CHRISTOPHER FRYER MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	F0042	OH

General Provider Information

NPI Number	:	1265641625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY CHRISTOPHER FRYER MFT

Provider Business Mailing Address
First Line	:	6879 STONINGTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-3866
Country	:	US
Telephone Number	:	513-232-5264
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 EDWARDS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2106
Country	:	US
Telephone Number	:	513-631-4769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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