Healthcare Provider Details

I. General information

NPI: 1487640116
Provider Name (Legal Business Name): PAMELA A FRANK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 01/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 RICHMOND HWY SUITE 415
ALEXANDRIA VA
22309-2300
US

IV. Provider business mailing address

8350 RICHMOND HWY SUITE 415
ALEXANDRIA VA
22309-2300
US

V. Phone/Fax

Practice location:
  • Phone: 703-704-6330
  • Fax: 703-704-6687
Mailing address:
  • Phone: 703-704-6330
  • Fax: 703-704-6687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701003282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: