Provider Demographics
NPI:1588100770
Name:FRANKEL, A. STEVEN (PHD)
Entity type:Individual
Prefix:
First Name:A. STEVEN
Middle Name:
Last Name:FRANKEL
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 750
Mailing Address - Street 2:
Mailing Address - City:OCCIDENTAL
Mailing Address - State:CA
Mailing Address - Zip Code:95465-0750
Mailing Address - Country:US
Mailing Address - Phone:925-408-2258
Mailing Address - Fax:707-865-5122
Practice Address - Street 1:43 QUAIL COURT
Practice Address - Street 2:SUITE 110
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-943-6175
Practice Address - Fax:925-944-8889
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-11
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY3354103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist