Provider Demographics
NPI:1639782154
Name:GLEASON, FRANKIE ANN (MS)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:ANN
Last Name:GLEASON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7658 GREAT MUSKRAT
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3629
Mailing Address - Country:US
Mailing Address - Phone:315-807-9093
Mailing Address - Fax:
Practice Address - Street 1:733 S MASSEY ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4089
Practice Address - Country:US
Practice Address - Phone:315-836-9820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist