Individual
MICHELLE K. PEMBLE-FRAZEY
Active
Individual
MICHELLE K. PEMBLE-FRAZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4824
MN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP4824
MN
Other
Enumeration date
07/17/2007
Last updated
09/13/2023
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