Individual
DR. JASON R FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
35 E 10TH ST STE E3, TRACY, CA 95376-4066
(209) 325-8486
Mailing address
35 E 10TH ST STE E3, TRACY, CA 95376-4066
(209) 431-9771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
94025433
CA
103TB0200X
Cognitive & Behavioral Psychologist
94025433
CA
103TC0700X
Clinical Psychologist
94025433
CA
Other
Enumeration date
07/13/2020
Last updated
02/28/2022
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