=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497810337
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | D. CHRISTINE FRIZZELL EDD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 285 OLD WESTPORT ROAD UMASS DARTMOUTH
-----------------------------------------------------
City | NORTH DARTMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02747-2300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-999-8649
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15 SANDY LN
-----------------------------------------------------
City | BRISTOL
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02809-4556
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-253-0152
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 6781
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------