Mark Frederick Frazier in Arlington Heights - Psychologist

Mark Frederick Frazier - NPI 1679510796

Mark Frederick Frazier is a Psychologist in Arlington Heights, Illinois. Mark Frederick Frazier practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark Frederick Frazier is 1679510796. The last update date is 2008-11-12.

Mark Frederick Frazier's current location address is 139 W. Rand Rd., Arlington Heights, Illinois. You can contact this provider via phone number 8472598583 and fax number 8472598935. The mailing address for Mark Frederick Frazier is 139 W. Rand Rd., Arlington Heights, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Frederick Frazier
Address 139 W. Rand Rd., Arlington Heights, Illinois
Phone Number 8472598583
Fax Number 8472598935
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1679510796
Provider Enumeration Date 2006-05-31
Last Updated Date 2008-11-12

Provider Mailing Address Detail

Address 139 W. Rand Rd.
City Arlington Heights
State Illinois (IL)
Post Code 600043985
Phone Number 8472598583
Fax Number 8472598935

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 71003590
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1673206 IL BLUE CROSS BLUE SHIELD
680010989 IL RAILROAD MEDICARE

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FAQs about Mark Frederick Frazier

What is the unique identifier code issued to Mark Frederick Frazier by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Frederick Frazier has been assigned the NPI (National Provider Identifier) 1679510796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Mark Frederick Frazier is physically located?

The Mark Frederick Frazier is situated at the following address: 139 W. Rand Rd., Arlington Heights, IL 600043985.

What is Mark Frederick Frazier's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Frederick Frazier is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did Mark Frederick Frazier receive its 1679510796 assignment from the Centers for Medicare & Medicaid Services?

The Mark Frederick Frazier was assigned its 1679510796 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Mark Frederick Frazier, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Frederick Frazier, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-12.

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