Provider Demographics
NPI:1407665581
Name:FROBERG, PHOEBE MARIE
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:MARIE
Last Name:FROBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PHOEBE
Other - Middle Name:MARIE
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 E GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3837
Mailing Address - Country:US
Mailing Address - Phone:309-994-2222
Mailing Address - Fax:
Practice Address - Street 1:211 E GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3837
Practice Address - Country:US
Practice Address - Phone:309-994-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.005755175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist