Provider Demographics
NPI:1174652028
Name:TIMMONS, FRANK R
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:R
Other - Last Name:TIMMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2265 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3808
Mailing Address - Country:US
Mailing Address - Phone:303-736-2910
Mailing Address - Fax:
Practice Address - Street 1:2265 ELM ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-3808
Practice Address - Country:US
Practice Address - Phone:303-736-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO447103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical