Individual
SHANNON FROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4705 TOWNE CENTRE RD, MEDICAL ARTS I, SUITE 304, SAGINAW, MI 48604-2818
(989) 921-5100
Mailing address
4705 TOWNE CENTRE RD, MEDICAL ARTS I, SUITE 304, SAGINAW, MI 48604-2818
(989) 921-5100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014080
MI
103T00000X
Psychologist
840
WV
103TH0004X
Health Psychologist
6301014080
MI
103TH0004X
Health Psychologist
840
WV
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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