Basic Information
Provider Information
NPI: 1821155425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANK
FirstName: SANDRA
MiddleName: H
NamePrefix: MS.
NameSuffix:  
Credential: MSW NSW DCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2137 SCOTTWOOD AVENUE
Address2:  
City: TOLEDO
State: OH
PostalCode: 436201643
CountryCode: US
TelephoneNumber: 4192427106
FaxNumber:  
Practice Location
Address1: 4841 MONROE STREET
Address2: PSYCHOLOGICAL RESOURCES LTD
City: TOLEDO
State: OH
PostalCode: 436234385
CountryCode: US
TelephoneNumber: 4194752535
FaxNumber: 4194750881
Other Information
ProviderEnumerationDate: 01/02/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000XI0000882OHY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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