Provider Demographics
NPI:1295330017
Name:FRANZEN, ROMAN M (MED, LPC)
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:M
Last Name:FRANZEN
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 ST. CYR
Mailing Address - Street 2:STE 106, PMB 1059
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137
Mailing Address - Country:US
Mailing Address - Phone:314-442-1422
Mailing Address - Fax:
Practice Address - Street 1:1276 ST. CYR
Practice Address - Street 2:STE 106, PMB 1059
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137
Practice Address - Country:US
Practice Address - Phone:314-442-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health