Fray, Jennifer A.

Fray, Jennifer A. is an individual health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fray, Jennifer A. can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4568
Phone: (765) 674-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041632A Indiana

Profile Details

NPI number 1679563209
LBN Legal business name Fray, Jennifer A.
Credentials PSY.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679563209 NPPES
Indiana MEDICAID 200371000

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