Active NPIIndividual providerSole proprietor

Mrs. Kathleen M Fry, PHD

Psychologist, Clinical in Tyngsboro, Massachusetts

NPI Number1790079994
Practice location
602 Cardinal Ln, Tyngsboro, MA 01879-1583
Fax
—
Last updated
June 28, 2021

Kathleen M. Fry is a Psychologist, Clinical based in Tyngsboro, MA. Kathleen M. Fry practices in Tyngsboro, MA and has the professional credentials of PHD. The NPI Number for Kathleen M. Fry is 1790079994 and holds a License No. 0810007470 (VA). The current practice location address for Kathleen M. Fry is 602 Cardinal Ln, Tyngsboro, MA 01879-1583 and can be reached out via phone at 978-815-4800.

Provider Profile Details

NPI Number
1790079994
Provider Name
Kathleen M. Fry
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
602 Cardinal Ln, Tyngsboro, MA 01879-1583
Phone Number
978-815-4800
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2011
Last Update Date
June 28, 2021
Certification Date
June 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
602 Cardinal Ln
Tyngsboro, MA 01879-1583
Zip
01879-1583
Phone Number
978-815-4800
Tyngsboro, MA 01879Get directions →

Provider Business Mailing Address Details

Address
929 E 11190 S
Sandy, UT 84094-5329
City
Sandy
State
UT
Zip
84094-5329
Phone Number
978-815-4800

License Information

License Number (2)
0810007470
License State (2)
VA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kathleen M Fry, PHD?

The NPI number of Mrs. Kathleen M Fry, PHD is 1790079994. It was assigned on June 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen M Fry, PHD?

Mrs. Kathleen M Fry, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VA under license number 0810007470.

Where does Mrs. Kathleen M Fry, PHD practice?

The practice location is 602 Cardinal Ln, Tyngsboro, MA 01879-1583. The office can be reached at 978-815-4800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790079994 directly on the NPPES registry website.

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