Provider Demographics
NPI:1467466920
Name:FRANK, BARBARA ELYSE (MA NCC LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELYSE
Last Name:FRANK
Suffix:
Gender:F
Credentials:MA NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08403-1044
Mailing Address - Country:US
Mailing Address - Phone:609-822-6822
Mailing Address - Fax:
Practice Address - Street 1:505 NEW RD
Practice Address - Street 2:SUITE 3
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2049
Practice Address - Country:US
Practice Address - Phone:609-226-5949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004171101Y00000X
NJ37PC00367000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA600005837OtherMAGELLAN BC