Provider Demographics
NPI:1154569978
Name:FRAKER, CINDY L
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:FRAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444857 E 16TH ROAD
Mailing Address - Street 2:PO BOX 134
Mailing Address - City:WELCH
Mailing Address - State:OK
Mailing Address - Zip Code:74369
Mailing Address - Country:US
Mailing Address - Phone:918-325-1358
Mailing Address - Fax:
Practice Address - Street 1:120 S TREATY ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354
Practice Address - Country:US
Practice Address - Phone:918-540-1511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health