Healthcare Provider Details

I. General information

NPI: 1164525648
Provider Name (Legal Business Name): DEBORAH FRAME PHD, LSCW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2954 COUNTY ROUTE 36
DENVER NY
12421
US

IV. Provider business mailing address

2954 COUNTY ROUTE 36 PO BOX 101
DENVER NY
12421
US

V. Phone/Fax

Practice location:
  • Phone: 607-326-7718
  • Fax: 607-326-3530
Mailing address:
  • Phone: 607-326-7718
  • Fax: 607-326-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPR 0468741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: