Healthcare Provider Details
I. General information
NPI: 1427039668
Provider Name (Legal Business Name): JAMES E. FRYE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/07/2005
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1655 WEST MARKET STREET SUITE 440
AKRON OH
44313-7095
US
IV. Provider business mailing address
1665 WEST MARKET STREET SUITE 440
AKRON OH
44313-7095
US
V. Phone/Fax
- Phone: 330-867-7332
- Fax: 330-867-8570
- Phone: 330-867-7332
- Fax: 330-867-8570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 4344 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: