Healthcare Provider Details

I. General information

NPI: 1700193547
Provider Name (Legal Business Name): JOEL FRANK PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15250 VENTURA BLVD STE 705
SHERMAN OAKS CA
91403-3219
US

IV. Provider business mailing address

15250 VENTURA BLVD STE 705
SHERMAN OAKS CA
91403-3219
US

V. Phone/Fax

Practice location:
  • Phone: 818-208-7897
  • Fax:
Mailing address:
  • Phone: 818-208-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY33924
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY33924
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: