Basic Information
| Provider Information | |||||||||
| NPI: | 1003438318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANZEN | ||||||||
| FirstName: | SKYLER | ||||||||
| MiddleName: | GRACE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1953 SIR LANCELOT CIR | ||||||||
| Address2: | |||||||||
| City: | SAINT CLOUD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347727007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189489353 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11681 VOYAGER PKWY STE 150 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809213864 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193449342 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2020 | ||||||||
| LastUpdateDate: | 05/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 102L00000X | 0110910 | CO | Y | Behavioral Health & Social Service Providers | Psychoanalyst |
No ID Information.