Provider Demographics
NPI:1588021133
Name:FRANK, ARLENE (PHD)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 NW 60TH CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-4064
Mailing Address - Country:US
Mailing Address - Phone:561-988-0224
Mailing Address - Fax:561-988-0225
Practice Address - Street 1:4100 NW 60TH CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-4064
Practice Address - Country:US
Practice Address - Phone:561-988-0224
Practice Address - Fax:561-988-0225
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3158103T00000X
NH424103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist