M Denise Fraser Vaselako in Homer Glen - Clinical

M Denise Fraser Vaselako - NPI 1982872594

M Denise Fraser Vaselako is a Clinical in Homer Glen, Illinois. M Denise Fraser Vaselako practices all healthcare services and medical treatments related to Clinical. The NPI Number for M Denise Fraser Vaselako is 1982872594. The last update date is 2008-02-16.

M Denise Fraser Vaselako's current location address is 12627 W 143rd St, Homer Glen, Illinois. You can contact this provider via phone number 7086450798 and fax number 7086450841. The mailing address for M Denise Fraser Vaselako is 12627 W 143rd St, Homer Glen, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name M Denise Fraser Vaselako
Address 12627 W 143rd St, Homer Glen, Illinois
Phone Number 7086450798
Fax Number 7086450841
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1982872594
Provider Enumeration Date 2008-02-16
Last Updated Date 2008-02-16

Provider Mailing Address Detail

Address 12627 W 143rd St
City Homer Glen
State Illinois (IL)
Post Code 604918381
Phone Number 7086450798
Fax Number 7086450841

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about M Denise Fraser Vaselako

What is the M Denise Fraser Vaselako's 1982872594?

The M Denise Fraser Vaselako's NPI (National Provider Identifier) Number is 1982872594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where M Denise Fraser Vaselako's facilities are geographically located?

The facilities of M Denise Fraser Vaselako are physically situated at the following location: 12627 W 143Rd St, Homer Glen, IL, 604918381.

What is M Denise Fraser Vaselako's area of expertise and its corresponding taxonomy classification?

The M Denise Fraser Vaselako's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the M Denise Fraser Vaselako receive the assignment of its 1982872594 from the Centers for Medicare & Medicaid Services?

The M Denise Fraser Vaselako was issued its 1982872594 by the Centers for Medicare & Medicaid Services on 2008-02-16.

When was the M Denise Fraser Vaselako's information last updated?

The M Denise Fraser Vaselako's information was last updated on 2008-02-16.

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