Doctor Name: | MS. SHARMON ELIZABETH FRANTZ-MAHONEY |
NPI Number: | 1073681821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BCBA |
License Number: | |
Business Practice Address: | 6 Narya Trace Carbondale, IL - 629027448 |
Business Phone Number: | 6183511797 |
Business Fax Number: | |
Mailing Address: | 6 Narya Trace, CARBONDALE |
State: | IL |
Postal Code: | 629027448 |
Phone Number: | 6183511797 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |