Provider Demographics
NPI:1497940480
Name:DEL RIO, FRANK (PSYD, LPC, CART)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:DEL RIO
Suffix:
Gender:M
Credentials:PSYD, LPC, CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 10TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4934
Mailing Address - Country:US
Mailing Address - Phone:940-642-4493
Mailing Address - Fax:
Practice Address - Street 1:1901 10TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4934
Practice Address - Country:US
Practice Address - Phone:940-642-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57741101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor