Search › Indiana › 1041C0700X
Jerry Fry, LCSW
NPI 1881861714 · on the registry since 2008
Practice
- Address
- 6401 E Washington St
Indianapolis, IN 46219 - Phone
- (317) 808-7085
- Fax
- (317) 708-0115
- Organisation at this address
- Practice Services Of Indiana Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 655 E Main St, Peru, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X
171M00000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana