Provider Demographics
NPI:1891837332
Name:EHRENTHAL, FRANK E (MED,CAGS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:E
Last Name:EHRENTHAL
Suffix:
Gender:M
Credentials:MED,CAGS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-5042
Mailing Address - Country:US
Mailing Address - Phone:781-246-2003
Mailing Address - Fax:781-213-3470
Practice Address - Street 1:338 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-5042
Practice Address - Country:US
Practice Address - Phone:781-246-2003
Practice Address - Fax:781-213-3470
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health