Provider Demographics
NPI:1851775167
Name:FRANZEN, DAVID BRADLEY
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRADLEY
Last Name:FRANZEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N. COLORADO #2440
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244
Mailing Address - Country:US
Mailing Address - Phone:480-299-8820
Mailing Address - Fax:480-895-1260
Practice Address - Street 1:1490 S PRICE RD STE 115
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6608
Practice Address - Country:US
Practice Address - Phone:480-299-8820
Practice Address - Fax:480-895-1260
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-15684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional