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NPI Code Detail

MEDICARE: AMY FREY

MEDICARE: AMY FREY
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
1104100000XSocial WorkerLMSW-22287AZ

General Provider Information

NPI Number : 1619824752
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY FREY
Provider Business Mailing Address
First Line : 10000 N 31ST AVE STE C307
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-9569
Country : US
Telephone Number : 480-651-4209
Fax Number :
Provider Business Practice Location Address
First Line : 10000 N 31ST AVE STE C307
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-9569
Country : US
Telephone Number : 480-651-4209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ AMY FREY ” Practice Location

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