Healthcare Provider Details

I. General information

NPI: 1619881018
Provider Name (Legal Business Name): FRALEY PSYCHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

IV. Provider business mailing address

1972 THE ALAMEDA
SAN JOSE CA
95126-1432
US

V. Phone/Fax

Practice location:
  • Phone: 650-450-9589
  • Fax:
Mailing address:
  • Phone: 650-450-9589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MEGHAN FRALEY
Title or Position: PRESIDENT
Credential: PHD
Phone: 650-450-9589