Provider Demographics
NPI:1093146813
Name:FRANZEN, CAROLYN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:FRANZEN
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-1306
Mailing Address - Country:US
Mailing Address - Phone:860-465-2510
Mailing Address - Fax:860-465-2638
Practice Address - Street 1:355 HIGH ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-1306
Practice Address - Country:US
Practice Address - Phone:860-465-2510
Practice Address - Fax:860-465-2638
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001304106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist