Healthcare Provider Details

I. General information

NPI: 1538152723
Provider Name (Legal Business Name): GEORGE WILLIAM FRANGIA PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 KELSEY LYNN CT
TOWNSEND DE
19734-2024
US

IV. Provider business mailing address

220 KELSEY LYNN CT
TOWNSEND DE
19734-2024
US

V. Phone/Fax

Practice location:
  • Phone: 302-378-7505
  • Fax: 302-378-7505
Mailing address:
  • Phone: 302-378-7505
  • Fax: 302-378-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberB1-0000215
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: