Provider Demographics
NPI:1326022567
Name:VAN CARA, FLO W (PHD)
Entity Type:Individual
Prefix:
First Name:FLO
Middle Name:W
Last Name:VAN CARA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ELMWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-3145
Mailing Address - Country:US
Mailing Address - Phone:412-352-1665
Mailing Address - Fax:412-922-9089
Practice Address - Street 1:1720 WASHINGTON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1208
Practice Address - Country:US
Practice Address - Phone:412-561-6776
Practice Address - Fax:412-833-6439
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003853L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1485089OtherBC
PA001855491Medicaid
PA630614OtherBC/BS IN-STATE
PA479697OtherHIGHMARK
PA479697OtherHIGHMARK
PA001855491Medicaid