Provider Demographics
NPI:1881870517
Name:PAPANDREA, FRANK D (PHD,MDDIV, LPC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:D
Last Name:PAPANDREA
Suffix:
Gender:M
Credentials:PHD,MDDIV, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 WEBBER ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-4433
Mailing Address - Country:US
Mailing Address - Phone:941-924-0507
Mailing Address - Fax:
Practice Address - Street 1:4 VALLEY RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1505
Practice Address - Country:US
Practice Address - Phone:908-930-0851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00224900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00224900OtherLPC, NJ LICENSE