Individual
DR. NICOLE LYNN FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5201 LEESBURG PIKE, FALLS CHURCH, VA 22041-3203
(703) 681-6506
Mailing address
9300 NANCY ST, MANASSAS PARK, VA 20111-2462
(571) 292-1502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000353
VA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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