Provider Demographics
NPI:1588535074
Name:FRAZER, REBEKAH JANE
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JANE
Last Name:FRAZER
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 1:1002 STATESMAN DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8219
Mailing Address - Country:US
Mailing Address - Phone:317-207-0459
Mailing Address - Fax:
Practice Address - Street 1:70 E MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-4203
Practice Address - Country:US
Practice Address - Phone:317-207-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health