Fraser, Kathryn

Fraser, Kathryn is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fraser, Kathryn can be contacted via phone (386) 254-4165.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 254-4165
Fax: (386) 254-4349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5411 Florida

Profile Details

NPI number 1124128459
LBN Legal business name Fraser, Kathryn
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 3rd, 2007 - about 17 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 1124128459 NPPES
Florida Other PY5411 STATE MEDICAL LICENSE

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