Provider Demographics
NPI:1760184394
Name:FRANK, MELISSA (PSY D)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11315 EARLY SUN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-7832
Mailing Address - Country:US
Mailing Address - Phone:702-890-1072
Mailing Address - Fax:
Practice Address - Street 1:11315 EARLY SUN CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-7832
Practice Address - Country:US
Practice Address - Phone:702-890-1072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth