SUZANNE ROWLAND FRASER PSYD NPI 1053600130

NPI Information

  • NPI: 1053600130
  • Provider Name: SUZANNE ROWLAND FRASER, PSYD
  • Classification: Psychologist - 103TF0200X
  • Specialization: Forensic
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 123 DIXON RD
    QUEENSBURY, NY
    ZIP 12804
  • Phone: (518) 354-0298

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NPI Details

Suzanne Rowland Fraser, PSYD is a forensic psychologist in Queensbury, NY with 25 years of experience. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Suzanne Rowland Fraser, PSYD NPI is 1053600130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 DIXON RD
QUEENSBURY, NY
ZIP 12804-133
Phone: (518) 354-0298

The NPI 1053600130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 12/20/2024.

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
1103T00000XPsychologist015429NEW YORKNo
2103TF0200XPsychologistForensic015429NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104690704MEDICAIDNEW YORK

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: 11/21/2025

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