Provider Demographics
NPI:1730482191
Name:FRANKLE, IRA MARK (MA)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:MARK
Last Name:FRANKLE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22231 MULHOLLAND HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5173
Mailing Address - Country:US
Mailing Address - Phone:818-282-6630
Mailing Address - Fax:818-222-3896
Practice Address - Street 1:22231 MULHOLLAND HWY STE 200
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5173
Practice Address - Country:US
Practice Address - Phone:818-282-6630
Practice Address - Fax:818-222-3896
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31617106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist