Healthcare Provider Details

I. General information

NPI: 1487755484
Provider Name (Legal Business Name): STEVEN M FRANK PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5348 1ST AVE N
ST PETERSBURG FL
33710-8106
US

IV. Provider business mailing address

PO BOX 47918
ST PETERSBURG FL
33743-7918
US

V. Phone/Fax

Practice location:
  • Phone: 727-322-6123
  • Fax: 727-322-6143
Mailing address:
  • Phone: 727-322-6123
  • Fax: 727-322-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY5607
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: