Provider Demographics
NPI:1447243266
Name:FRANKEL, AMY G (PHD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:G
Last Name:FRANKEL
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 1:6260 S LINDBERGH BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-7831
Mailing Address - Country:US
Mailing Address - Phone:314-995-1296
Mailing Address - Fax:314-487-9430
Practice Address - Street 1:6260 S LINDBERGH BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-7831
Practice Address - Country:US
Practice Address - Phone:314-995-1296
Practice Address - Fax:314-487-9430
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01388103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical