Provider Demographics
NPI:1164909016
Name:SHERRI FRY-WENDT PHD LLC
Entity Type:Organization
Organization Name:SHERRI FRY-WENDT PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRY-WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-452-6200
Mailing Address - Street 1:7708 N WALROND AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1557
Mailing Address - Country:US
Mailing Address - Phone:816-694-6886
Mailing Address - Fax:816-452-6202
Practice Address - Street 1:NORTHWOODS OFFICE PARK
Practice Address - Street 2:5744 N BROADWAY ST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-3998
Practice Address - Country:US
Practice Address - Phone:816-452-6200
Practice Address - Fax:816-452-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01311103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty