MEDICARE: DR. FRANK MANCARI JR. PSY.D.

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	103TC0700X	Clinical Psychologist	PY5951	FL

General Provider Information

NPI Number	:	1619018553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MANCARI JR. PSY.D.

Provider Business Mailing Address
First Line	:	4530 BERISFORD BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2614
Country	:	US
Telephone Number	:	727-385-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 BERISFORD BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2614
Country	:	US
Telephone Number	:	727-385-4122
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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