LESLIE FRASER (NPI# 1710375134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710375134 |
| Entity Type | Individual |
| Full Name | LESLIE FRASER |
| Credential | PH.D. |
| Practice Address |
2900 W Cypress Creek Rd #2 Fort Lauderdale FL 33309-1715 |
| Practice Telephone | 9549157444 |
| Practice Fax Number | 9542060372 |
| Mailing Telephone | 9549157444 |
| Mailing Fax Number | 9542060372 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9222 | FL | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PY9222 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326255332 | Leslie Carolyn Fraser | Speech-Language Pathologist | 11245 Unit G Terra Vista Pkwy, Rancho Cucamonga, CA 91730 | 2007-05-17 |
| 1730184011 | Leslie Ann Fraser | Speech-Language Pathologist | 12340 Ne 6th Ct, North Miami, FL 33161-5518 | 2005-06-14 |
| 1114056702 | Leslie John Fraser | Emergency Medicine | 168 S Howell St, Hillsdale, MI 49242-2040 | 2007-03-02 |
| Street Address |
2900 W CYPRESS CREEK RD #2 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672295 | Robert C. Coppola | Optometrist | 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | 2005-10-10 |
| 1770027187 | Tlc Recovery Center of South Florida | Pharmacy | 2900 W Cypress Creek Rd, Suite 2, Fort Lauderdale, FL 33309-1715 | 2016-12-05 |
| 1134584337 | Gabriel Baum | Massage Therapist | 2900 W Cypress Creek Rd, Suite 2, Fort Lauderdale, FL 33309-1715 | 2015-12-15 |
| 1124493846 | Relaxation Arts LLC | Massage Therapist | 2900 W Cypress Creek Rd, Suite 2, Fort Lauderdale, FL 33309-1715 | 2015-12-07 |
| 1366866063 | Diana P. Camargo O.d., P.a. | Optometrist | 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | 2014-02-16 |
| 1811141286 | Diana Patricia Camargo | Optometrist | 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | 2008-11-11 |
| 1326240565 | Amarie M Negron-rodriguez | Internal Medicine | 2900 W Cypress Creek Rd, Suite 11, Fort Lauderdale, FL 33309-1715 | 2007-06-01 |
| 1912032566 | South Florida Vision Services, Inc. | Optometrist | 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | 2007-02-23 |
| 1023102902 | 2020 Eyecare Network, Inc. | Optometrist | 2900 W Cypress Creek Rd, Suite 4, Fort Lauderdale, FL 33309 | 2006-10-03 |
| 1730297367 | Jason Aronson | Optometrist | 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 1508483355 | Elizabeth Levin | Psychologist | 3250 Ne 28th St Apt 303, Fort Lauderdale, FL 33308-7446 | 2020-06-27 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1679001465 | Ainsley Kennard | Psychologist | 1975 E Sunrise Blvd Ste 511, Fort Lauderdale, FL 33304-1409 | 2017-05-24 |
| 1508308511 | Marcela Mejia | Psychologist | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308-4029 | 2016-11-08 |
| 1083087456 | Kelley Gill | Psychologist | 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 | 2015-11-07 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1679974877 | Jennifer Ellen Ackrish | Psychologist | 915 Middle River Dr Ste 410, Fort Lauderdale, FL 33304-3561 | 2014-09-08 |
| 1629410915 | Jessie Jenny Alfin | Psychologist | 1400 Nw 14th Ct, Fort Lauderdale, FL 33311-5426 | 2013-07-27 |
| 1366796435 | Heather Robinson Violante | Psychologist | 2419 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4042 | 2012-10-29 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on LESLIE FRASER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.