Provider Demographics
NPI:1447527668
Name:HULL-FRYE, ELIZABETH (PC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HULL-FRYE
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 W MARIETTA ST
Mailing Address - Street 2:PO BOX 242
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-1051
Mailing Address - Country:US
Mailing Address - Phone:740-472-9022
Mailing Address - Fax:740-777-5311
Practice Address - Street 1:229 W MARIETTA ST
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-1051
Practice Address - Country:US
Practice Address - Phone:740-472-9022
Practice Address - Fax:740-777-5311
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0900645101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional