Provider Demographics
NPI:1659603140
Name:FRAAD, HARRIET LOUISE (EDD)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:LOUISE
Last Name:FRAAD
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6806
Mailing Address - Country:US
Mailing Address - Phone:646-336-8443
Mailing Address - Fax:646-336-7078
Practice Address - Street 1:64 W 15TH ST
Practice Address - Street 2:1 W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6806
Practice Address - Country:US
Practice Address - Phone:646-336-8443
Practice Address - Fax:646-336-7078
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003920-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health