Provider Demographics
NPI:1912139429
Name:RALSTON, FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:RALSTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:RALSTON
Other - Last Name:CROFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2140 UPPER WETUMPKA RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-1342
Mailing Address - Country:US
Mailing Address - Phone:334-262-0363
Mailing Address - Fax:334-263-3105
Practice Address - Street 1:2140 UPPER WETUMPKA RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36107-1342
Practice Address - Country:US
Practice Address - Phone:334-262-0363
Practice Address - Fax:334-263-3105
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1102103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical