Fristad, Mary A
Fristad, Mary A is an individual health care provider with primary practice located at 444 Butterfly Gardens Dr , Columbus OH 43215-3427. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Fristad, Mary A can be contacted via phone (614) 355-8080.Contact Information
Primary practice address
444 Butterfly Gardens Dr
Columbus OH 43215-3427
Phone: (614) 355-8080
Fax: (614) 355-7855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | P.3860 | Ohio |
Profile Details
| NPI number | 1265791305 |
|---|---|
| LBN Legal business name | Fristad, Mary A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2012 |
| Last updated | Apr 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265791305 | NPPES |
| Ohio | MEDICAID | 0417657 |
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