Provider Demographics
NPI:1679750962
Name:FRAGER ASSOCIATES INC
Entity Type:Organization
Organization Name:FRAGER ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:502-893-6654
Mailing Address - Street 1:3906 DUPONT SQUARE SOUTH
Mailing Address - Street 2:SUITE E
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-893-6654
Mailing Address - Fax:502-895-0000
Practice Address - Street 1:3906 DUPONT SQUARE SOUTH
Practice Address - Street 2:SUITE E
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-893-6654
Practice Address - Fax:502-895-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty