MEDICARE: DR. JULIE CAPASSO FRANZESE PH.D

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	103TC0700X	Clinical Psychologist	7313	FL

General Provider Information

NPI Number	:	1720338502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE CAPASSO FRANZESE PH.D

Provider Business Mailing Address
First Line	:	6212 WINDLASS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-5119
Country	:	US
Telephone Number	:	561-254-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	6212 WINDLASS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-5119
Country	:	US
Telephone Number	:	561-254-4292
Fax Number	:

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

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	09/19/2012

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