Individual
DR. JEFFREY PATRICK FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., NCSP
Contact information
Practice address
809 E JACKSON ST, MEDFORD, OR 97504-6713
(541) 690-2906
(458) 226-2667
Mailing address
809 E JACKSON ST, MEDFORD, OR 97504-6713
(541) 690-2906
(458) 226-2667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3208
OR
103T00000X
Psychologist
SS 903
FL
Other
Enumeration date
07/03/2007
Last updated
09/01/2020
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