Provider Demographics
NPI:1063625572
Name:FRANKEL, SUSAN L (MA)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-2739
Mailing Address - Country:US
Mailing Address - Phone:508-685-1414
Mailing Address - Fax:
Practice Address - Street 1:411 W ELM ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-2739
Practice Address - Country:US
Practice Address - Phone:508-685-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health