Individual
DR. ROBERT B FRAZIER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600H EDEN RD, LANCASTER, PA 17601-4205
(717) 397-1400
(717) 509-4066
Mailing address
600H EDEN RD, LANCASTER, PA 17601-4205
(717) 397-1400
(717) 509-4066
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS004670L
PA
103TC0700X
Clinical Psychologist
PS004670L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156587
BLUE SHIELD
PA
Enumeration date
11/15/2005
Last updated
02/20/2015
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