Individual
SHRENA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 MAIN ST, NEW ROCHELLE, NY 10801-6412
(914) 654-6540
Mailing address
PO BOX 1228, NEW ROCHELLE, NY 10802-1228
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
465173-1
NY
251E00000X
Home Health Agency
Primary
465173-1
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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