Healthcare Provider Details

I. General information

NPI: 1124104476
Provider Name (Legal Business Name): FRANK DEAN SUNSERI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30571 PINE CT
SPANISH FORT AL
36527-5690
US

IV. Provider business mailing address

30571 PINE CT
SPANISH FORT AL
36527-5690
US

V. Phone/Fax

Practice location:
  • Phone: 251-626-5454
  • Fax:
Mailing address:
  • Phone: 251-626-5454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2287
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: