Provider Demographics
NPI:1043530124
Name:POLLACK, FRANI (LSW PHD MS)
Entity Type:Individual
Prefix:DR
First Name:FRANI
Middle Name:
Last Name:POLLACK
Suffix:
Gender:F
Credentials:LSW PHD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BALA AVE
Mailing Address - Street 2:BALA CHILD & FAMILY STE 125
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3212
Mailing Address - Country:US
Mailing Address - Phone:610-667-7137
Mailing Address - Fax:
Practice Address - Street 1:1 BALA AVE
Practice Address - Street 2:BALA CHILD & FAMILY STE 125
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3212
Practice Address - Country:US
Practice Address - Phone:610-667-7137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist