Basic Information
Provider Information
NPI: 1417919564
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRAMPTON
FirstName: LISA
MiddleName: BETH
NamePrefix: MS.
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3433 W SHAW AVE STE 102
Address2:  
City: FRESNO
State: CA
PostalCode: 937113229
CountryCode: US
TelephoneNumber: 5595584051
FaxNumber:  
Practice Location
Address1: 2934 N FRESNO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937031123
CountryCode: US
TelephoneNumber: 5595496697
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2006
LastUpdateDate: 12/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XASW86333CAN193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorMental Health
101YM0800XASW35154CAN Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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