Individual
DR. NATHAN RYAN FRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
800 HOSPITAL DR, HARRY S TRUMAN VA/BH, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, HARRY S TRUMAN VA/BH, COLUMBIA, MO 65201-5275
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
001241
IA
103TB0200X
Cognitive & Behavioral Psychologist
001241
IA
103TC0700X
Clinical Psychologist
Primary
001241
IA
Other
Enumeration date
06/28/2012
Last updated
06/29/2012
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