MEDICARE: MICHAEL RICHARD FRAAS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	0966	NH

General Provider Information

NPI Number	:	1619195385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RICHARD FRAAS PHD

Provider Business Mailing Address
First Line	:	4 LIBRARY WAY
Second Line	:	151 HEWITT HALL
City	:	DURHAM
State	:	NH
Zip	:	03824-3520
Country	:	US
Telephone Number	:	603-862-4591
Fax Number	:	603-862-4511

Provider Business Practice Location Address
First Line	:	4 LIBRARY WAY
Second Line	:	151 HEWITT HALL
City	:	DURHAM
State	:	NH
Zip	:	03824-3520
Country	:	US
Telephone Number	:	603-862-4591
Fax Number	:	603-862-4511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	07/08/2007

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