Provider Demographics
NPI:1215914155
Name:FRANKLIN, JOAN S (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:S
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 STILLSON RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-3103
Mailing Address - Country:US
Mailing Address - Phone:203-330-1852
Mailing Address - Fax:419-791-7154
Practice Address - Street 1:400 STILLSON RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-3103
Practice Address - Country:US
Practice Address - Phone:203-330-1852
Practice Address - Fax:419-791-7154
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1333103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical