Provider Demographics
NPI:1346606167
Name:FRYE, CHERYL A (PHD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:FRYE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1513
Mailing Address - Country:US
Mailing Address - Phone:518-458-2314
Mailing Address - Fax:518-446-9960
Practice Address - Street 1:490 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1513
Practice Address - Country:US
Practice Address - Phone:518-458-2314
Practice Address - Fax:518-446-9960
Is Sole Proprietor?:No
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021525103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical