Provider Demographics
NPI:1275839607
Name:FRANKS, ADEOLA SHANI (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ADEOLA
Middle Name:SHANI
Last Name:FRANKS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5715
Mailing Address - Country:US
Mailing Address - Phone:301-270-4200
Mailing Address - Fax:
Practice Address - Street 1:680 W SAM HOUSTON PKWY S
Practice Address - Street 2:#1016
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1500
Practice Address - Country:US
Practice Address - Phone:281-804-1627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101667235Z00000X
MD08058235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist