Provider Demographics
NPI:1720262124
Name:FRANKS, MELISSA (PSY D)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
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 1:311 STATE ROUTE 356
Mailing Address - Street 2:
Mailing Address - City:APOLLO
Mailing Address - State:PA
Mailing Address - Zip Code:15613-8715
Mailing Address - Country:US
Mailing Address - Phone:724-454-0716
Mailing Address - Fax:724-205-6271
Practice Address - Street 1:1 NORTHGATE SQ STE 113
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1375
Practice Address - Country:US
Practice Address - Phone:724-454-0716
Practice Address - Fax:724-216-5567
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016674103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026300690002Medicaid