Provider Demographics
NPI:1841248184
Name:FRISINGER, DARCY JEAN (ST)
Entity type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:JEAN
Last Name:FRISINGER
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:JEAN
Other - Last Name:VAN DUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ST
Mailing Address - Street 1:11 FOXGLOVE LOOP
Mailing Address - Street 2:
Mailing Address - City:THREE FORKS
Mailing Address - State:MT
Mailing Address - Zip Code:59752-8678
Mailing Address - Country:US
Mailing Address - Phone:406-580-0388
Mailing Address - Fax:
Practice Address - Street 1:11 FOXGLOVE LOOP
Practice Address - Street 2:
Practice Address - City:THREE FORKS
Practice Address - State:MT
Practice Address - Zip Code:59752-8678
Practice Address - Country:US
Practice Address - Phone:406-580-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist