Provider Demographics
NPI:1609088293
Name:FRANKEL, MEREDITH BLAIR (PSYD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:BLAIR
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 GRAND CANAL DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1506
Mailing Address - Country:US
Mailing Address - Phone:239-566-2400
Mailing Address - Fax:
Practice Address - Street 1:1112 GOODLETTE RD N
Practice Address - Street 2:SUITE 203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5497
Practice Address - Country:US
Practice Address - Phone:239-784-6688
Practice Address - Fax:239-261-0080
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6789103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical