Provider Demographics
NPI:1134601628
Name:FRAZIER, DEVIN R (PSY AIT MA)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:R
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:PSY AIT MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31103 ORANGELAWN ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2926
Mailing Address - Country:US
Mailing Address - Phone:614-578-6317
Mailing Address - Fax:
Practice Address - Street 1:31103 ORANGELAWN ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2926
Practice Address - Country:US
Practice Address - Phone:614-578-6317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist