Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1192 | OK |
NPI | 1023430253 |
---|---|
Provider Name | Dr. Laura Arold Kuhn Frazier |
First Address | Ellicott City, MD 21042-4960 |
Second Address | Baltimore, MD 21211-2120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2014 |
Last Update Date | 09/03/2016 |