DR. Mylissa Fraser, PSYD

NPI #1033682596 in Cocoa, Florida

Provider Information

NPI Number: 1033682596
Entity Type: Individual
Name: DR. Mylissa Fraser, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jan 8, 2019
Last Updated: Jan 8, 2019

Practice Location

Address: 6280 ARBORWOOD AVE
City: Cocoa
State: Florida
ZIP Code: 32927-4242
Phone: (321) 549-8264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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