Fry, Brenda Bearden

Fry, Brenda Bearden is an sole proprietor health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fry, Brenda Bearden can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 25240 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25240 Texas

Profile Details

NPI number 1225036825
LBN Legal business name Fry, Brenda Bearden
Credentials MSSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Aug 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225036825 NPPES
Texas MEDICAID 071295202
Texas MEDICAID 071295203
Texas Other 87142Q

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