Provider Demographics
NPI:1205919164
Name:MAC ARTHUR, FRANKLIN D (PSY D)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:D
Last Name:MAC ARTHUR
Suffix:
Gender:M
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 1:9 POST RD
Mailing Address - Street 2:BUILDING D, SUITE 6
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1618
Mailing Address - Country:US
Mailing Address - Phone:201-669-6320
Mailing Address - Fax:
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:BUILDING D, SUITE 6
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-669-6320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI-03723103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ093434Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID