Healthcare Provider Details

I. General information

NPI: 1609088293
Provider Name (Legal Business Name): MEREDITH BLAIR FRANKEL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 GOODLETTE RD N SUITE 203
NAPLES FL
34102-5497
US

IV. Provider business mailing address

1286 GRAND CANAL DR
NAPLES FL
34110-1506
US

V. Phone/Fax

Practice location:
  • Phone: 239-784-6688
  • Fax: 239-261-0080
Mailing address:
  • Phone: 239-566-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY6789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: