Provider Demographics
NPI:1730967886
Name:FRAZE-RICE, CATHERINE (MED)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:FRAZE-RICE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9624 COLBERT CV
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-5608
Mailing Address - Country:US
Mailing Address - Phone:817-946-0219
Mailing Address - Fax:
Practice Address - Street 1:9624 COLBERT CV
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-5608
Practice Address - Country:US
Practice Address - Phone:817-946-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional