Individual
DR. LAURA LYNNETTE FRAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2326
(401) 729-2243
Mailing address
111 BREWSTER STREET, WOOD BLDG #516, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
8791
MA
103G00000X
Clinical Neuropsychologist
Primary
PS00999
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000723403
MEDICARE PTAN
RI
Enumeration date
11/30/2007
Last updated
05/28/2010
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