Provider Demographics
NPI:1750973277
Name:FRAZIER, SCOTT G (CMHC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:G
Last Name:FRAZIER
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 E WHITETAIL WAY
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-4927
Mailing Address - Country:US
Mailing Address - Phone:801-821-8176
Mailing Address - Fax:
Practice Address - Street 1:949 E 12400 S STE A2
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9333
Practice Address - Country:US
Practice Address - Phone:801-821-8176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician