Individual
LESLIE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2900 W CYPRESS CREEK RD, #2, FORT LAUDERDALE, FL 33309-1715
(954) 915-7444
(954) 206-0372
Mailing address
2900 W CYPRESS CREEK RD, #2, FORT LAUDERDALE, FL 33309-1715
(954) 915-7444
(954) 206-0372
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9222
FL
103TC1900X
Counseling Psychologist
PY9222
FL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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