Provider Demographics
NPI:1679850861
Name:ADDONIZIO, FRANK (PHD, LCSW)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ADDONIZIO
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 E. NC HWY 54
Mailing Address - Street 2:SUITE 320 B&D BEHAVIORAL HEALTH SERVICES
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713
Mailing Address - Country:US
Mailing Address - Phone:919-753-1080
Mailing Address - Fax:919-753-1089
Practice Address - Street 1:249 E. NC HWY 54
Practice Address - Street 2:SUITE 320 B&D BEHAVIORAL HEALTH SERVICES
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713
Practice Address - Country:US
Practice Address - Phone:919-753-1080
Practice Address - Fax:919-753-1089
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0070021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical