Provider Demographics
NPI:1518945609
Name:MCCARTHY, FRANCES MARIA (PHD)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:MARIA
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:406 SW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3108
Mailing Address - Country:US
Mailing Address - Phone:954-426-8840
Mailing Address - Fax:954-426-6642
Practice Address - Street 1:311 SOUTH CYPRESS ROAD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060
Practice Address - Country:US
Practice Address - Phone:954-787-5052
Practice Address - Fax:954-781-7313
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5666103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54187ZMedicare PIN