Provider Demographics
NPI:1326232109
Name:FRANDSEN, BEVERLY J (PH D, LCSW)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:J
Last Name:FRANDSEN
Suffix:
Gender:F
Credentials:PH D, LCSW
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Other - First Name:
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Mailing Address - Street 1:2600 N MAYFAIR RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-257-0233
Mailing Address - Fax:414-257-3588
Practice Address - Street 1:2600 N MAYFAIR RD
Practice Address - Street 2:SUITE 870
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1309
Practice Address - Country:US
Practice Address - Phone:414-774-6770
Practice Address - Fax:414-774-3299
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3997-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical