MEDICARE: FRANKLIN PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1578447595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	9000 E JEFFERSON AVE APT 19-9
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48214-2996
Country	:	US
Telephone Number	:	646-330-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 E JEFFERSON AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48214-4188
Country	:	US
Telephone Number	:	646-330-0069
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARILYN FRANKLIN
Credential	:	PHD, LP
Telephone Number	:	646-330-0069

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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