Healthcare Provider Details

I. General information

NPI: 1376618538
Provider Name (Legal Business Name): FRANCES MCCARTHY P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S CYPRESS RD
POMPANO BEACH FL
33060-7133
US

IV. Provider business mailing address

406 SW 12TH AVE
DEERFIELD BEACH FL
33442-3108
US

V. Phone/Fax

Practice location:
  • Phone: 954-781-5052
  • Fax: 954-781-7313
Mailing address:
  • Phone: 954-426-1169
  • Fax: 954-725-5814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY5666
License Number StateFL

VIII. Authorized Official

Name: DR. FRANCES MCCARTHY
Title or Position: PRESIDENT
Credential: PHD
Phone: 954-781-5052