Susan Jan Frensley, PHD

Individual provider Active NPI Clinical Psychologist · Cameron, TX

NPI 1295969996 · NPPES record last updated Mar 29, 2011

Key facts

NPI
1295969996
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
34188 (TX)
Practice address
704 N Crockett Ave
Cameron, TX 76520-2551
Phone
(830) 637-9615
Fax
(972) 852-7992
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34188TXMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34188 TX Yes

Addresses

Primary practice location

704 N Crockett Ave
Cameron, TX 76520-2551

Mailing address

704 N Crockett Ave
Cameron, TX 76520-2551
Phone (830) 637-9615

Other providers in Cameron, TX

All providers in Cameron, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.