MEDICARE: JENNIFER FROST BARRON, LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1407799042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER FROST BARRON, LLC

Provider Business Mailing Address
First Line	:	364 S PINE ST STE A207
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29302-2654
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	364 S PINE ST STE A207
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29302-2654
Country	:	US
Telephone Number	:	864-541-7004
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST/OWNER
Name	:	JENNIFER FROST BARRON
Credential	:	PSYD
Telephone Number	:	864-541-7004

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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