Individual
THOMAS W FRAZIER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 242-6079
(315) 306-3610
Mailing address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 242-6079
(315) 306-3610
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6229
OH
103T00000X
Psychologist
6229
OH
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6229
OH
103TC0700X
Clinical Psychologist
6229
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6229
OH
103TP2701X
Group Psychotherapy Psychologist
6229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2684831
—
OH
Enumeration date
08/12/2006
Last updated
07/18/2023
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