MEDICARE: DANIELLE DICARLO

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	103TS0200X	School Psychologist	2016	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2016	OTHER	FL	LICENSED SCHOOL PSYCHOLOGIST

General Provider Information

NPI Number	:	1114850161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE DICARLO

Provider Business Mailing Address
First Line	:	7653 NW 79TH AVE APT 212
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2874
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7653 NW 79TH AVE APT 212
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2874
Country	:	US
Telephone Number	:	305-527-2907
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ DANIELLE DICARLO ” Practice Location

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