Provider Demographics
NPI:1346547270
Name:FRANK, SIVAN (LMHC)
Entity Type:Individual
Prefix:
First Name:SIVAN
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SIVAN
Other - Middle Name:
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:733 RUTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2208
Mailing Address - Country:US
Mailing Address - Phone:646-764-9624
Mailing Address - Fax:
Practice Address - Street 1:733 RUTLAND AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2208
Practice Address - Country:US
Practice Address - Phone:646-764-9624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004660-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health