Individual
DR. MONIQUE R FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2797447-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008963103
IHC
UT
01
—
27974472500001
REGENCE BXBS
UT
01
—
62617
PEHP
UT
01
—
825140
DMBA
UT
Enumeration date
03/13/2007
Last updated
07/08/2007
Update your record
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