=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538152723
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GEORGE WILLIAM FRANGIA PH.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2005
-----------------------------------------------------
Last Update Date | 02/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 KELSEY LYNN CT
-----------------------------------------------------
City | TOWNSEND
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19734-2024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-378-7505
-----------------------------------------------------
Fax | 302-378-7505
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 KELSEY LYNN CT
-----------------------------------------------------
City | TOWNSEND
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19734-2024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-378-7505
-----------------------------------------------------
Fax | 302-378-7505
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | B1-0000215
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------