Individual
THERESA M BECKER-FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CS
Contact information
Practice address
6480 CROOKED ELM CT, DELAWARE, OH 43015-8462
(740) 881-6049
(740) 881-6077
Mailing address
7652 SAWMILL RD, PMB 160, DUBLIN, OH 43016-9296
(740) 881-6049
(740) 881-6077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.170378-COA1
OH
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
COA03738-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114017-02
CLINICAL SPECIALIST
OH
Enumeration date
03/23/2007
Last updated
02/08/2011
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