Provider Demographics
NPI:1841334950
Name:EHRHARDT, FRANCES ANN
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:ANN
Last Name:EHRHARDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 EHRHARDT WAY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1565
Mailing Address - Country:US
Mailing Address - Phone:631-630-1484
Mailing Address - Fax:
Practice Address - Street 1:65 EHRHARDT WAY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1565
Practice Address - Country:US
Practice Address - Phone:631-630-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TB0200X103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral