MEDICARE: FLO W VAN CARA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS003853L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1485089	OTHER	PA	BC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	630614	OTHER	PA	BC/BS IN-STATE
4	479697	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1326022567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLO W VAN CARA PHD

Provider Business Mailing Address
First Line	:	18 ELMWOOD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-3145
Country	:	US
Telephone Number	:	412-352-1665
Fax Number	:	412-922-9089

Provider Business Practice Location Address
First Line	:	1720 WASHINGTON RD
Second Line	:	SUITE 201
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1208
Country	:	US
Telephone Number	:	412-561-6776
Fax Number	:	412-833-6439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	09/26/2008

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Directions to “ FLO W VAN CARA PHD” Practice Location

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