Provider Demographics
NPI:1487755484
Name:FRANK, STEVEN M (PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:FRANK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 47918
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-7918
Mailing Address - Country:US
Mailing Address - Phone:727-322-6123
Mailing Address - Fax:727-322-6143
Practice Address - Street 1:5348 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8106
Practice Address - Country:US
Practice Address - Phone:727-322-6123
Practice Address - Fax:727-322-6143
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5607103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
S38948Medicare UPIN
S38948Medicare UPIN