Individual
SUSAN FRANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2400
(817) 735-0615
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2400
(817) 735-0615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038896901
—
TX
01
—
680006052
RAILROAD MEDICARE
TX
01
—
81538P
BCBS
TX
Enumeration date
04/03/2006
Last updated
10/24/2008
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