Shazia Mulkana Frothingham, PH.D.
Individual provider Active NPI Clinical Psychologist · Whitfield, MS
NPI 1295014744 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1295014744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 47-820 (MS)
- Practice address
- Building 51/Psychological Services
Mississippi State Hospital
Whitfield, MS 39193 - Phone
- (601) 351-8475
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47-820 | MS | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 47-820 | MS | Yes |
Addresses
Primary practice location
Building 51/Psychological Services
Mississippi State Hospital
Whitfield, MS 39193
Mailing address
107 Appleridge Dr
Brandon, MS 39047-8245
Phone (601) 829-0668
Other providers in Whitfield, MS
- Jackie C Dyess
- Waleed El Harith
- Craig Leopold Escude
- Patrick Michael Fitz-Gerald
- Andrew William Foret
- Jennifer E Giambrone
- Ivan Hamblin
- Kimberly Dawn Harrell
- Stephanie Harris
- Jacob Harwell
All providers in Whitfield, MS · Clinical Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.