Individual
DR. JENNY KATHRYN FRISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
510 4 ST S, FARGO, ND 58103
(701) 476-7800
(701) 280-5795
Mailing address
510 4 ST S, FARGO, ND 58103
(701) 476-7800
(701) 280-5795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
358
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12053
—
ND
Enumeration date
09/07/2006
Last updated
07/08/2007
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