Provider Demographics
NPI:1366615874
Name:FRANK, GARRETT LOGAN (MA CCC-A)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:LOGAN
Last Name:FRANK
Suffix:
Gender:M
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N CANFIELD NILES RD STE 102
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2332
Mailing Address - Country:US
Mailing Address - Phone:330-799-2814
Mailing Address - Fax:
Practice Address - Street 1:25 N CANFIELD NILES RD STE 102
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2332
Practice Address - Country:US
Practice Address - Phone:330-799-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA. 01156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist