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Individual

DR. SHAZIA MULKANA FROTHINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
BUILDING 51/PSYCHOLOGICAL SERVICES, MISSISSIPPI STATE HOSPITAL, WHITFIELD, MS 39193
(601) 351-8475
Mailing address
107 APPLERIDGE DR, BRANDON, MS 39047-8245
(601) 829-0668

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
47-820
MS

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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