| Doctor Name: | DR. SHAZIA MULKANA FROTHINGHAM |
| NPI Number: | 1295014744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 47-820 |
| Business Practice Address: | Building 51/psychological Services Mississippi State Hospital Whitfield, MS - 39193 |
| Business Phone Number: | 6013518475 |
| Business Fax Number: | |
| Mailing Address: | 107 Appleridge Dr, BRANDON |
| State: | MS |
| Postal Code: | 390478245 |
| Phone Number: | 6018290668 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2011 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 47-820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |