Provider Demographics
NPI:1578005096
Name:FRANKLIN, RICHARD A
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7584 STATE ROAD T
Mailing Address - Street 2:
Mailing Address - City:STOUTLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65567-4236
Mailing Address - Country:US
Mailing Address - Phone:417-286-3722
Mailing Address - Fax:
Practice Address - Street 1:7584 STATE ROAD T
Practice Address - Street 2:
Practice Address - City:STOUTLAND
Practice Address - State:MO
Practice Address - Zip Code:65567-4236
Practice Address - Country:US
Practice Address - Phone:417-286-3722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207896235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist