Provider Demographics
NPI:1205462355
Name:BELSEY, FRANKLYN GEORGE
Entity type:Individual
Prefix:
First Name:FRANKLYN
Middle Name:GEORGE
Last Name:BELSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 OLYMPIC AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-4038
Mailing Address - Country:US
Mailing Address - Phone:714-814-3236
Mailing Address - Fax:
Practice Address - Street 1:1531 OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-4038
Practice Address - Country:US
Practice Address - Phone:714-814-3236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100411106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist