Individual
ELIZABETH FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 S 5TH AVE, 116B, HINES, IL 60141-3030
(708) 202-4705
Mailing address
5000 S 5TH AVE, 116B, HINES, IL 60141-3030
(708) 202-4705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008004
IL
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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