Provider Demographics
NPI:1184113219
Name:FRYE, SARA (PHD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
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 1:2001 W ORANGE GROVE RD STE 608
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1141
Mailing Address - Country:US
Mailing Address - Phone:520-379-3037
Mailing Address - Fax:520-379-3329
Practice Address - Street 1:2001 W ORANGE GROVE RD STE 608
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1141
Practice Address - Country:US
Practice Address - Phone:520-379-3037
Practice Address - Fax:520-379-3329
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4961103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist