Individual
DR. JOHN MICHAEL FRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 TALLY HO DR, FREDERICKSBURG, VA 22405-3307
(540) 899-7762
(540) 899-3733
Mailing address
PO BOX 7242, FREDERICKSBURG, VA 22404-7242
(540) 899-7762
(540) 899-3733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
871
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066918
ANTHEM PROVIDER NUMBER
VA
01
—
186949
VALUEOPTIONS PROVIDER NUM
VA
Enumeration date
09/29/2005
Last updated
08/09/2022
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