Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS003103L | PA |
N | 103T00000X | Psychologist | PS003103L | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS003103L | PA |
N | 103G00000X | Clinical Psychologist | PS003103L | PA |
N | 103TC0700X | Clinical Psychologist | PS003103L | PA |
N | 103TF0200X | Forensic Psychologist | PS003103L | PA |
N | 103TP2701X | Group Psychotherapist | PS003103L | PA |
N | 103TR0400X | Rehabilitation Psychologist | PS003103L | PA |
NPI | 1104031079 |
---|---|
Provider Name | Dr. Randall Morrow Franklin |
First Address | Saint Davids, PA 19087-4413 |
Second Address | Saint Davids, PA 19087-4413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 08/07/2007 |