Provider Demographics
NPI:1427641471
Name:FROHLINGER, MARA J (PHD)
Entity type:Individual
Prefix:
First Name:MARA
Middle Name:J
Last Name:FROHLINGER
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 1:83 CLARENDON RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2419
Mailing Address - Country:US
Mailing Address - Phone:914-522-2484
Mailing Address - Fax:
Practice Address - Street 1:83 CLARENDON RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2419
Practice Address - Country:US
Practice Address - Phone:914-522-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013098-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist