Provider Demographics
NPI:1497810337
Name:FRIZZELL, D. CHRISTINE (EDD)
Entity Type:Individual
Prefix:DR
First Name:D.
Middle Name:CHRISTINE
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SANDY LN
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-4556
Mailing Address - Country:US
Mailing Address - Phone:401-253-0152
Mailing Address - Fax:
Practice Address - Street 1:285 OLD WESTPORT ROAD
Practice Address - Street 2:UMASS DARTMOUTH
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2300
Practice Address - Country:US
Practice Address - Phone:508-999-8649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6781103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO5387Medicare ID - Type Unspecified