Healthcare Provider Details

I. General information

NPI: 1144124173
Provider Name (Legal Business Name): HEATHER FRANK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14155 CLARIDON TROY RD
BURTON OH
44021-9581
US

IV. Provider business mailing address

14155 CLARIDON TROY RD
BURTON OH
44021-9581
US

V. Phone/Fax

Practice location:
  • Phone: 440-834-3380
  • Fax:
Mailing address:
  • Phone: 440-834-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLPS.00895
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: