Provider Demographics
NPI:1386848935
Name:FRANK, SHERYL JEAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:JEAN
Last Name:FRANK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2638 COLSTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3036
Mailing Address - Country:US
Mailing Address - Phone:301-585-0859
Mailing Address - Fax:301-565-0056
Practice Address - Street 1:804 PERSHING DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4436
Practice Address - Country:US
Practice Address - Phone:301-585-0859
Practice Address - Fax:301-585-0858
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03082103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD490966Medicare ID - Type UnspecifiedPROVIDER ID