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Individual

SUZANNE ROWLAND FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
123 DIXON RD, QUEENSBURY, NY 12804-2133
(518) 354-0298
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
015429
NY
103TF0200X
Forensic Psychologist
Primary
015429
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04690704
NY
Enumeration date
03/29/2011
Last updated
03/13/2026
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