SAMUEL ERIC FRASER PH.D. NPI 1356500920

NPI Information

NPI: 1356500920
Provider Name: SAMUEL ERIC FRASER, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7136 HASKELL AVE
SUITE 201
VAN NUYS, CA
ZIP 91406
Phone: (626) 644-4746
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Samuel Eric Fraser, PH.D. is a mental health counselor in Van Nuys, CA. Samuel Eric Fraser, PH.D. NPI is 1356500920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7136 HASKELL AVE
SUITE 201
VAN NUYS, CA
ZIP 91406-112
Phone: (626) 644-4746
Fax: (818) 888-7850

The enumeration date for this NPI number is 6/8/2008 and was last updated on 6/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MFC23931	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	MFC23931	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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