Provider Demographics
NPI:1114555745
Name:PATRICIA L. FRUMKIN, PH.D., MPH
Entity Type:Organization
Organization Name:PATRICIA L. FRUMKIN, PH.D., MPH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRUMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MPH
Authorized Official - Phone:650-856-4091
Mailing Address - Street 1:739 LA PARA AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3158
Mailing Address - Country:US
Mailing Address - Phone:650-856-4091
Mailing Address - Fax:
Practice Address - Street 1:739 LA PARA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3158
Practice Address - Country:US
Practice Address - Phone:650-856-4091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY13185OtherBOARD OF PSYCHOLOGY