Provider Demographics
NPI:1770657686
Name:FRAZIER, TAMRA LYNN (MA)
Entity Type:Individual
Prefix:MS
First Name:TAMRA
Middle Name:LYNN
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-7439
Mailing Address - Country:US
Mailing Address - Phone:206-223-1533
Mailing Address - Fax:206-223-1535
Practice Address - Street 1:415 10TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-7439
Practice Address - Country:US
Practice Address - Phone:206-223-1533
Practice Address - Fax:206-223-1535
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health