Provider Demographics
NPI:1386009587
Name:FRAZEE, TERRI LYNN
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNN
Last Name:FRAZEE
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 1:1620 S ELWOOD AVE
Mailing Address - Street 2:APT. U16
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4248
Mailing Address - Country:US
Mailing Address - Phone:918-519-0453
Mailing Address - Fax:
Practice Address - Street 1:1620 S ELWOOD AVE
Practice Address - Street 2:APT. U16
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4248
Practice Address - Country:US
Practice Address - Phone:918-519-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health