Provider Demographics
NPI:1568750719
Name:FRANSON, DEANNA M (MASTERS INTERN)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:M
Last Name:FRANSON
Suffix:
Gender:F
Credentials:MASTERS INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4347 W 4250 S
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-9562
Mailing Address - Country:US
Mailing Address - Phone:801-940-6572
Mailing Address - Fax:801-451-4750
Practice Address - Street 1:2351 GRANT AVE
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-1406
Practice Address - Country:US
Practice Address - Phone:801-621-8670
Practice Address - Fax:801-621-8670
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health