Healthcare Provider Details

I. General information

NPI: 1639232283
Provider Name (Legal Business Name): FRANKIE L PRESTON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 FOUNTAIN ROW SW
HUNTSVILLE AL
35801-4335
US

IV. Provider business mailing address

525 FOUNTAIN ROW SW
HUNTSVILLE AL
35801-4335
US

V. Phone/Fax

Practice location:
  • Phone: 256-534-7107
  • Fax: 256-534-7886
Mailing address:
  • Phone: 256-534-7107
  • Fax: 256-534-7886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number921
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number921
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number921
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number921
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number921
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number921
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number921
License Number StateAL
# 8
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number921
License Number StateAL
# 9
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number921
License Number StateAL
# 10
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number921
License Number StateAL
# 11
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberL7
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: