Fraser, Suzanne Rowland

Fraser, Suzanne Rowland is an individual health care provider with primary practice located at 123 Dixon Rd , Queensbury NY 12804-2133. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Fraser, Suzanne Rowland can be contacted via phone (518) 354-0298.

Contact Information

Primary practice address
123 Dixon Rd Queensbury NY 12804-2133
Phone: (518) 354-0298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015429 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 015429 New York

Profile Details

NPI number 1053600130
LBN Legal business name Fraser, Suzanne Rowland
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Aug 18th, 2022 - about 3 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 1053600130 NPPES
New York MEDICAID 04690704

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