Provider Demographics
NPI:1205646072
Name:FRASIER, RAIZEL M (PHD)
Entity type:Individual
Prefix:DR
First Name:RAIZEL
Middle Name:M
Last Name:FRASIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RAIZEL
Other - Middle Name:M
Other - Last Name:SANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5247 LUZZANE LN APT 712
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3357
Mailing Address - Country:US
Mailing Address - Phone:845-709-2575
Mailing Address - Fax:
Practice Address - Street 1:5247 LUZZANE LN APT 712
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3357
Practice Address - Country:US
Practice Address - Phone:845-709-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program