Individual
DR. JORDYNN MICHELLE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207-1117
(704) 384-1390
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
202246
AR
103T00000X
Psychologist
Primary
6700
NC
Other
Enumeration date
09/05/2023
Last updated
12/11/2024
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