| Mr Robert Middleton Frazier Iii, MGPP, LPC | |
|
821 Huntingdon Pike Ste 204, Huntingdon Valley, PA 19006-8372 | |
| (215) 914-4190 | |
| Not Available |
| Full Name | Mr Robert Middleton Frazier Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 821 Huntingdon Pike Ste 204, Huntingdon Valley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | PC010972 (Pennsylvania) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Middleton Frazier Iii, MGPP, LPC 1315 Windrim Ave, Philadelphia, PA 19141-2710 Ph: (215) 456-2607 | Mr Robert Middleton Frazier Iii, MGPP, LPC 821 Huntingdon Pike Ste 204, Huntingdon Valley, PA 19006-8372 Ph: (215) 914-4190 |
Mrs. Jean Gladys Moore, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 67 Buck Rd Ste B22, Huntingdon Valley, PA 19006 Phone: 215-275-7134 | |
Barbara Bale, MSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Franks Rd, Suite 1, Huntingdon Valley, PA 19006 Phone: 215-947-8654 Fax: 215-938-7607 | |
Irena Cohen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Franks Rd, Suite 1, Huntingdon Valley, PA 19006 Phone: 215-947-8654 Fax: 215-938-7607 | |
Jean Ann Lichstein, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 Welsh Rd, Suite 202, Huntingdon Valley, PA 19006 Phone: 215-914-2119 Fax: 215-914-1663 | |
Susan Smallow, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Franks Rd, Suite 1, Huntingdon Valley, PA 19006 Phone: 215-947-8654 Fax: 215-938-7607 | |
James A Lutz, LCSW QCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 727 Welsh Road, Ste 202, Huntingdon Valley, PA 19006 Phone: 215-914-2119 Fax: 215-914-1663 |