Provider Demographics
NPI:1265534259
Name:FRYER, KERI ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:KERI
Middle Name:ANN
Last Name:FRYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:ANN
Other - Last Name:LOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 WHITE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06472-1220
Mailing Address - Country:US
Mailing Address - Phone:203-954-8294
Mailing Address - Fax:203-926-1163
Practice Address - Street 1:111 WHITE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NORTHFORD
Practice Address - State:CT
Practice Address - Zip Code:06472-1220
Practice Address - Country:US
Practice Address - Phone:203-954-8294
Practice Address - Fax:203-926-1163
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001136106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist