| Doctor Name: | MRS. MELINDA SUE FRAZER |
| NPI Number: | 1831344886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A./C.A.S. |
| License Number: | 913373 |
| Business Practice Address: | 12 Mohawk St Tupper Lake, NY - 129861028 |
| Business Phone Number: | 5183597518 |
| Business Fax Number: | |
| Mailing Address: | 12 Mohawk St, TUPPER LAKE |
| State: | NY |
| Postal Code: | 129861028 |
| Phone Number: | 5183597518 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 913373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |