Provider Demographics
NPI:1326095530
Name:KLUTSCHKOWSKI, FRANZ ------------------- (EDD)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:-------------------
Last Name:KLUTSCHKOWSKI
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S DIXON ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4762
Mailing Address - Country:US
Mailing Address - Phone:940-612-3288
Mailing Address - Fax:940-612-1002
Practice Address - Street 1:206 S DIXON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4761
Practice Address - Country:US
Practice Address - Phone:940-612-3288
Practice Address - Fax:940-612-1002
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3243101YP2500X
TX1420-042363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist