Charles T Fries Edd PC
Psychologist in Tyler, TX. Organization (NPI-2).
NPI number1831227909
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1831227909
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles T Fries Edd PC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 21305 | TX | Yes |
| 101YP2500X | Counselor, Professional | 19298 | TX | |
| 101YP2500X | Counselor, Professional | 17645 | TX |
Practice location
3800 Paluxy DrSuite 440
Tyler, TX 75703
Phone 903-526-5550 · Fax 903-526-5551
Mailing address
3800 Paluxy DrSuite 440
Tyler, TX 75703
Phone 903-526-5550 · Fax 903-526-5551
Authorized official
Charles T Fries
President Charles T Fries Edd PC
9035265550
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