Doctor Name: | DR. SUSAN JAN FRENSLEY |
NPI Number: | 1295969996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 34188 |
Business Practice Address: | 704 N Crockett Ave Cameron, TX - 765202551 |
Business Phone Number: | 8306379615 |
Business Fax Number: | 9728527992 |
Mailing Address: | 704 N Crockett Ave, CAMERON |
State: | TX |
Postal Code: | 765202551 |
Phone Number: | 8306379615 |
Fax Number: | 9728527992 |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 34188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |