Healthcare Provider Details

I. General information

NPI: 1689681751
Provider Name (Legal Business Name): MICHAEL JAY FRANKS JR. PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 W. HIGHWAY 98 NAVAL HOSPITAL PENSACOLA
PENSACOLA FL
32512
US

IV. Provider business mailing address

7573 FRANKFORT ST
NAVARRE FL
32566-7713
US

V. Phone/Fax

Practice location:
  • Phone: 850-505-6749
  • Fax:
Mailing address:
  • Phone: 850-598-7112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1414
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: