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NPI Code Detail

MEDICARE: METTA KIRSTENE VOLKER-FRY

MEDICARE:   METTA KIRSTENE VOLKER-FRY
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1629961842
Entity Type Code : Individual
Provider Name (Legal Business Name) : METTA KIRSTENE VOLKER-FRY
Provider Business Mailing Address
First Line : 3420 N 78TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-5038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3420 N 78TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-5038
Country : US
Telephone Number : 531-299-9345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

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Directions to “ METTA KIRSTENE VOLKER-FRY ” Practice Location

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