Fryback, Michelle Lynn

Fryback, Michelle Lynn is an sole proprietor health care provider with primary practice located at 302 W Grand Ave Ste #7, El Segundo CA 90245-3700. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fryback, Michelle Lynn can be contacted via phone (310) 784-7717.

Contact Information

Primary practice address
302 W Grand Ave Ste #7 El Segundo CA 90245-3700
Phone: (310) 784-7717
Fax: (310) 326-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC39858 California

Profile Details

NPI number 1396893772
LBN Legal business name Fryback, Michelle Lynn
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jan 5th, 2012 - 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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