MEDICARE: DR. LAURA ELIZABETH FRAME PH.D.

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	103TC0700X	Clinical Psychologist	018391	NY

General Provider Information

NPI Number	:	1780912279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA ELIZABETH FRAME PH.D.

Provider Business Mailing Address
First Line	:	330 E 94TH ST
Second Line	:	APT 4B
City	:	NEW YORK
State	:	NY
Zip	:	10128-5621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 E 148TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5707
Country	:	US
Telephone Number	:	718-401-5066
Fax Number	:

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

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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