Provider Demographics
NPI:1851625503
Name:PIERSON, FRANK MARVIN (MS, LLP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:MARVIN
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MS, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 BURBANK DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1514
Mailing Address - Country:US
Mailing Address - Phone:734-883-1557
Mailing Address - Fax:
Practice Address - Street 1:3325 BURBANK DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1514
Practice Address - Country:US
Practice Address - Phone:734-883-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011918103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist