Provider Demographics
NPI:1770883563
Name:FRICK, ALICIA LORRAINE (BS)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:LORRAINE
Last Name:FRICK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3150
Mailing Address - Country:US
Mailing Address - Phone:724-840-3433
Mailing Address - Fax:
Practice Address - Street 1:60 HAMILL RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1422
Practice Address - Country:US
Practice Address - Phone:724-840-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health