Charles T Fries is a Psychologist in Tyler, Texas. Charles T Fries practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles T Fries is 1003970625. The last update date is 2007-07-08.
Charles T Fries's current location address is 3800 Paluxy Dr, Tyler, Texas. You can contact this provider via phone number 9035265550 and fax number 9035265551. The mailing address for Charles T Fries is 3800 Paluxy Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles T Fries |
|---|---|
| Address | 3800 Paluxy Dr, Tyler, Texas |
| Phone Number | 9035265550 |
| Fax Number | 9035265551 |
| Sole Proprietor | N |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1003970625 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3800 Paluxy Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75703 |
| Phone Number | 9035265550 |
| Fax Number | 9035265551 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 21305 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81478P | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Charles T Fries's unique identification number?
The Charles T Fries has been assigned the NPI (National Provider Identifier) Number 1003970625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Charles T Fries?
The Charles T Fries is physically situated at 3800 Paluxy Dr, in the city of Tyler, state of TX, with the postal code 75703.
What is the Charles T Fries's specialty and taxonomy code?
The Charles T Fries's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1003970625 assigned to Charles T Fries?
The Charles T Fries was issued its 1003970625 on 2006-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles T Fries most recently updated?
The details pertaining to the Charles T Fries, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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