Provider Demographics
NPI:1477969939
Name:SLEEP-FRANKEL, KERRY-ANN (MA, LCPC, LPCC)
Entity Type:Individual
Prefix:
First Name:KERRY-ANN
Middle Name:
Last Name:SLEEP-FRANKEL
Suffix:
Gender:F
Credentials:MA, LCPC, LPCC
Other - Prefix:
Other - First Name:KERRY-ANN
Other - Middle Name:
Other - Last Name:SLEEP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24903 PACIFIC COAST HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-4734
Mailing Address - Country:US
Mailing Address - Phone:310-310-9249
Mailing Address - Fax:
Practice Address - Street 1:24903 PACIFIC COAST HWY STE 102
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4734
Practice Address - Country:US
Practice Address - Phone:310-310-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-06
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011450101YP2500X
IL180011779101YP2500X
CALPCC10571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1477969939Medicaid