Provider Demographics
NPI:1346264256
Name:FRANK, ANN MARTHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARTHA
Last Name:FRANK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WAKE ROBIN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4241
Mailing Address - Country:US
Mailing Address - Phone:401-334-1131
Mailing Address - Fax:401-334-5418
Practice Address - Street 1:2 WAKE ROBIN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4241
Practice Address - Country:US
Practice Address - Phone:401-334-1131
Practice Address - Fax:401-334-5418
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00449103TC0700X
MA6161103TC0700X
NY010725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical