Healthcare Provider Details
I. General information
NPI: 1518945609
Provider Name (Legal Business Name): FRANCES MARIA MCCARTHY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/09/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 SOUTH CYPRESS ROAD
POMPANO BEACH FL
33060
US
IV. Provider business mailing address
406 SW 12TH AVE
DEERFIELD BEACH FL
33442-3108
US
V. Phone/Fax
- Phone: 954-787-5052
- Fax: 954-781-7313
- Phone: 954-426-8840
- Fax: 954-426-6642
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PY5666 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: