Doctor Name: | DR. FRANKLIN CARLETON BORAKS |
NPI Number: | 1003890757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 00005 |
Business Practice Address: | 7221 Mission Rd Ste 208 Prairie Village, KS - 66208 |
Business Phone Number: | 9132364146 |
Business Fax Number: | 9132364496 |
Mailing Address: | 7221 Mission Rd, Ste 208 PRAIRIE VILLAGE |
State: | KS |
Postal Code: | 66208 |
Phone Number: | 9132364146 |
Fax Number: | 9132364496 |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 00005 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |