Provider Demographics
NPI:1508104779
Name:FRY, BARBARA J (LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:FRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 BEE CAVE RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5391
Mailing Address - Country:US
Mailing Address - Phone:512-468-1567
Mailing Address - Fax:
Practice Address - Street 1:3530 BEE CAVE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5391
Practice Address - Country:US
Practice Address - Phone:512-468-1567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8522101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional