Provider Demographics
NPI:1437500758
Name:MASSOP, FRANKLYN (PSY S, NCSP)
Entity Type:Individual
Prefix:
First Name:FRANKLYN
Middle Name:
Last Name:MASSOP
Suffix:
Gender:M
Credentials:PSY S, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 NE 51ST ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5735
Mailing Address - Country:US
Mailing Address - Phone:305-301-3944
Mailing Address - Fax:
Practice Address - Street 1:15192 SW 137TH ST STE 13
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-5786
Practice Address - Country:US
Practice Address - Phone:786-529-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS 1228247200000X
FLSS1228103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other