Provider Demographics
NPI:1134658545
Name:FRAZIER, ANGELA (BS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 MARKET ST STE 2
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6003
Mailing Address - Country:US
Mailing Address - Phone:330-793-2487
Mailing Address - Fax:330-793-9372
Practice Address - Street 1:7620 MARKET ST STE 2
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6003
Practice Address - Country:US
Practice Address - Phone:330-793-2487
Practice Address - Fax:330-793-9372
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst