| Organization Name: | LEMON FRAZIER PSYCHOLOGICAL SERVICES, PLLC |
| NPI Number: | 1023462314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEDRA FRAZIER (PSYCHOLOGIST/OWNER) |
| Mailing Address: | 210 Lake Rd Suite 700a Lake Jackson |
| State: | TX US |
| Postal Code: | 775664982 |
| Phone Number: | 9792859242 |
| Fax Number: | 8442736889 |
| NPI Enumeration Date: | 04/22/2016 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |