Provider Demographics
NPI:1356471544
Name:DAY, FRANK LEVERN (FAODPSPEX)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:LEVERN
Last Name:DAY
Suffix:
Gender:M
Credentials:FAODPSPEX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15880 NOVARA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-2516
Mailing Address - Country:US
Mailing Address - Phone:313-587-5287
Mailing Address - Fax:
Practice Address - Street 1:5470 CHENE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-2746
Practice Address - Country:US
Practice Address - Phone:313-875-5521
Practice Address - Fax:313-267-0549
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI820306101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)