Organization
KIMBERLY A. FRASCA, PSY.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN FRASCA PSY.D. (PRESIDENT)
(631) 905-1254
Entity
Organization
Contact information
Practice address
8 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 905-1254
Mailing address
8 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 905-1254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018606
NY
Other
Enumeration date
01/14/2014
Last updated
08/05/2026
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