Individual
DR. KENNETH CHARLES FRONTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1150 UPPER HEMBREE ROAD, ROSWELL, GA 30076-1142
(678) 624-0930
(678) 624-0730
Mailing address
11285 ELKINS RD, STE D3, ROSWELL, GA 30076-5835
(770) 559-9752
(770) 592-0510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1835
GA
103TC0700X
Clinical Psychologist
001835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672526B
—
GA
Enumeration date
12/17/2006
Last updated
05/06/2022
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