Provider Demographics
NPI:1831184290
Name:FROMAN, FRANK RICHARD (EDD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:RICHARD
Last Name:FROMAN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 MAINE ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4272
Mailing Address - Country:US
Mailing Address - Phone:217-224-4080
Mailing Address - Fax:217-224-4096
Practice Address - Street 1:1891 MAINE ST
Practice Address - Street 2:SUITE #5
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-4272
Practice Address - Country:US
Practice Address - Phone:217-224-4080
Practice Address - Fax:217-224-4096
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71-1546103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical