Basic Information
Provider Information
NPI: 1437453529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANTZ
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3518 W 25TH ST
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441091951
CountryCode: US
TelephoneNumber: 2167412241
FaxNumber:  
Practice Location
Address1: 101 COOPER FOSTER PARK RD
Address2:  
City: AMHERST
State: OH
PostalCode: 44001
CountryCode: US
TelephoneNumber: 4409883705
FaxNumber: 4409887433
Other Information
ProviderEnumerationDate: 01/04/2011
LastUpdateDate: 09/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X6936OHY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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