Provider Demographics
NPI:1972391951
Name:FREY, DELIA SARAH (LSWAIC)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:SARAH
Last Name:FREY
Suffix:
Gender:
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W ALDER ST STE 333
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2849
Mailing Address - Country:US
Mailing Address - Phone:509-301-9011
Mailing Address - Fax:
Practice Address - Street 1:5 W ALDER ST STE 333
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2849
Practice Address - Country:US
Practice Address - Phone:509-301-9011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA613508101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical