Provider Demographics
NPI:1285611145
Name:FRAZER, CHRISTOPHER A (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:FRAZER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 OLD WESTPORT RD.
Mailing Address - Street 2:UMASS DARTMOUTH COUNSELING CENTER
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2356
Mailing Address - Country:US
Mailing Address - Phone:508-999-8650
Mailing Address - Fax:508-999-9192
Practice Address - Street 1:285 OLD WESTPORT RD
Practice Address - Street 2:UMASS DARTMOUTH COUNSELING CENTER
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2356
Practice Address - Country:US
Practice Address - Phone:508-999-8650
Practice Address - Fax:508-999-9192
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5820101YM0800X
MA10218103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5820OtherLMHC
MA10218OtherPSYCHOLOGY LICENSE