Provider Demographics
NPI:1104498336
Name:FRAYSIER, KATHLEEN WALSH (PHD)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:WALSH
Last Name:FRAYSIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BALL GAP RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8747
Mailing Address - Country:US
Mailing Address - Phone:954-778-5393
Mailing Address - Fax:
Practice Address - Street 1:1011 TUNNEL RD STE 220
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2060
Practice Address - Country:US
Practice Address - Phone:828-299-7451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103445103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist