Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 228184 | SC |
NPI | 1063854594 |
---|---|
Provider Name | Mrs. Charity Ann Hornish Frizzell |
First Address | Walhalla, SC 29691-2146 |
Second Address | Walhalla, SC 29691-2146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2013 |
Last Update Date | 25/07/2013 |