Dr Kenneth Charles Frontman, PHD | |
1150 Upper Hembree Road, Roswell, GA 30076-1142 | |
(678) 624-0930 | |
(678) 624-0730 |
Full Name | Dr Kenneth Charles Frontman |
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Gender | Male |
Speciality | Psychologist |
Location | 1150 Upper Hembree Road, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568525202 | NPI | - | NPPES |
00672526B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 001835 (Georgia) | Secondary |
103T00000X | Psychologist | 1835 (Georgia) | Primary |
Entity Name | Kenneth C. Frontman, Ph.d., Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609138890 PECOS PAC ID: 7517122500 Enrollment ID: O20120625000384 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Charles Frontman, PHD 11285 Elkins Rd, Ste D3, Roswell, GA 30076-5835 Ph: (770) 559-9752 | Dr Kenneth Charles Frontman, PHD 1150 Upper Hembree Road, Roswell, GA 30076-1142 Ph: (678) 624-0930 |
Dr. Neal A Cohen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Colonial Center Pkwy, Suite 100, Roswell, GA 30076 Phone: 678-353-3277 Fax: 678-353-3211 | |
Dr. Lee Anne Anne Dickerson, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 Sun Valley Dr Ste L1, Roswell, GA 30076 Phone: 404-394-1096 Fax: 404-990-3531 | |
Jikesha R Benton-johnson, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3000 Colonial Center Parkway, Suite 100n, Roswell, GA 30076 Phone: 404-317-1034 | |
James M Siwy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 555 Sun Valley Dr, Suite L-4, Roswell, GA 30076 Phone: 770-641-7720 Fax: 770-642-7957 | |
Dr. Mark E. Crawford, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11111 Houze Rd, Suite 320, Roswell, GA 30076 Phone: 770-993-0051 Fax: 770-993-0052 | |
Dr. Leslie Kim Doehring, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 580 West Crossville Road, Suite 201, Roswell, GA 30075 Phone: 678-494-0089 Fax: 770-643-4854 | |
Dr. Tamyra Edwards, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 104 Bombay Ln Ste B, Roswell, GA 30076 Phone: 678-824-7733 |