| Monique Frazier, Ph.d., P.c. | |
|
246 E 1260 N Logan UT 84341-7501 | |
| (435) 750-6300 | |
| (435) 753-8995 |
| Full Name | Monique Frazier, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 246 E 1260 N, Logan, Utah |
| Authorized Official Name and Position | Monique Rae Frazier (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4357506300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Frazier, Ph.d., P.c. 246 E 1260 N Logan UT 84341-7501 Ph: (435) 750-6300 | Monique Frazier, Ph.d., P.c. 246 E 1260 N Logan UT 84341-7501 Ph: (435) 750-6300 |
| NPI Number | 1073059580 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Medicare PECOS PAC ID | 4486936002 |
|---|---|
| Medicare Enrollment ID | O20170116000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073059580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2797447-2501 (Utah) | Primary |
| Provider Name | Monique Rae Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013040617 PECOS PAC ID: 9436317088 Enrollment ID: I20120228000618 |
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