Provider Demographics
NPI:1982745626
Name:FRANKEL, GLADYS (PHD)
Entity Type:Individual
Prefix:DR
First Name:GLADYS
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SOUTH MAIN STREET
Mailing Address - Street 2:HANOVER PSYCHIATRY
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755
Mailing Address - Country:US
Mailing Address - Phone:603-277-9110
Mailing Address - Fax:603-277-9154
Practice Address - Street 1:23 SOUTH MAIN STREET
Practice Address - Street 2:HANOVER PSYCHIATRY
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755
Practice Address - Country:US
Practice Address - Phone:603-277-9110
Practice Address - Fax:603-277-9154
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8091103T00000X
NH1241103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV6A041Medicare PIN