Provider Demographics
NPI:1760617799
Name:THOMAS P. FRIO, PH.D., L.L.C.
Entity Type:Organization
Organization Name:THOMAS P. FRIO, PH.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-899-8941
Mailing Address - Street 1:1101 RICHMOND AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-3010
Mailing Address - Country:US
Mailing Address - Phone:732-899-8941
Mailing Address - Fax:732-295-2280
Practice Address - Street 1:1101 RICHMOND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-3010
Practice Address - Country:US
Practice Address - Phone:732-899-8941
Practice Address - Fax:732-295-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00309700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty