Provider Demographics
NPI:1033364906
Name:FRAHM, DAVID SHAW (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHAW
Last Name:FRAHM
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:903 HANSHAW RD STE 7
Mailing Address - Street 2:PO BOX 4001
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1530
Mailing Address - Country:US
Mailing Address - Phone:607-333-7337
Mailing Address - Fax:607-333-7337
Practice Address - Street 1:903 HANSHAW RD
Practice Address - Street 2:SUITE 7
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1530
Practice Address - Country:US
Practice Address - Phone:607-333-7337
Practice Address - Fax:607-333-7337
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY010016-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist