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1861410045

NPI Code Detail

MEDICARE: DR. ALICIA J FRANK PHD

MEDICARE: DR. ALICIA J FRANK PHD

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	103TC0700X	Clinical Psychologist	048-0000839	VT
2	103TC2200X	Clinical Child & Adolescent Psychologist	1134	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68016	OTHER	VT	BCBS
2	2193483	OTHER	VT	CIGNA
3	559197	OTHER	VT	VALUE OPTIONS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	356531	OTHER	VT	MHN

General Provider Information

NPI Number	:	1861410045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA J FRANK PHD

Provider Business Mailing Address
First Line	:	1465 HOOKSETT RD UNIT 274
Second Line	:
City	:	HOOKSETT
State	:	NH
Zip	:	03106-1881
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAIN ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03064-2716
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/28/2007

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Directions to “ DR. ALICIA J FRANK PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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