Provider Demographics
NPI:1033481049
Name:FRASER, ALYSSA
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:FRASER
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 1:68 FORREST ST
Mailing Address - Street 2:UNIT 5C
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2600
Mailing Address - Country:US
Mailing Address - Phone:603-819-6251
Mailing Address - Fax:
Practice Address - Street 1:68 FORREST ST
Practice Address - Street 2:UNIT 5C
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-2600
Practice Address - Country:US
Practice Address - Phone:603-819-6251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health