Organization
DR. ERIC FREY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DEAN FREY PH.D. (PSYCHOLOGIST)
(512) 358-9700
Entity
Organization
Contact information
Practice address
6012 W WILLIAM CANNON DR, SUITE B103, AUSTIN, TX 78749-1980
(512) 358-9700
(512) 687-5377
Mailing address
6012 W WILLIAM CANNON DR, SUITE B103, AUSTIN, TX 78749-1980
(512) 358-9700
(512) 687-5377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
31405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025PS
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/10/2007
Last updated
09/10/2007
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