NPI 1003970625

Charles T Fries, EDD

Practitioner Psychologist Tyler, TX

Practice location

Address: 3800 Paluxy Dr Suite 440, Tyler, TX 75703
Phone: (903) 526-5550
Fax: (903) 526-5551

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 21305 (TX)

Other Psychologist providers in Texas →

Registry record

NPI: 1003970625
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.