Provider Demographics
NPI:1538152723
Name:FRANGIA, GEORGE WILLIAM (PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WILLIAM
Last Name:FRANGIA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 KELSEY LYNN CT
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-2024
Mailing Address - Country:US
Mailing Address - Phone:302-378-7505
Mailing Address - Fax:302-378-7505
Practice Address - Street 1:220 KELSEY LYNN CT
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-2024
Practice Address - Country:US
Practice Address - Phone:302-378-7505
Practice Address - Fax:302-378-7505
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000215103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000005304Medicaid
DEQ30591Medicare UPIN
DE491872Medicare ID - Type Unspecified