Provider Demographics
NPI:1275615528
Name:FRANK, DEBORAH IRENE (ARNP, MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:IRENE
Last Name:FRANK
Suffix:
Gender:F
Credentials:ARNP, MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 DELTA WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-4227
Mailing Address - Country:US
Mailing Address - Phone:850-656-1822
Mailing Address - Fax:850-656-2905
Practice Address - Street 1:2065 DELTA WAY STE 1
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-4227
Practice Address - Country:US
Practice Address - Phone:850-656-1822
Practice Address - Fax:850-656-2905
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000054MFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist