Provider Demographics
NPI:1871687434
Name:QUINN, FRANK L (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:QUINN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 MEDICAL CIRCLE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3656
Mailing Address - Country:US
Mailing Address - Phone:803-796-6811
Mailing Address - Fax:803-796-6851
Practice Address - Street 1:160 MEDICAL CIRCLE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3656
Practice Address - Country:US
Practice Address - Phone:803-796-6811
Practice Address - Fax:803-796-6851
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC815103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling