Anthony Annunziata | |
36 Woburn Street Ste Ll#2 Reading MA 01867-2973 | |
(781) 954-5239 | |
Not Available |
Full Name | Anthony Annunziata |
---|---|
Speciality | Psychologist |
Location | 36 Woburn Street, Reading, Massachusetts |
Authorized Official Name and Position | Anthony Annunziata (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7819545239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anthony Annunziata 36 Woburn St Lowr Level Reading MA 01867-2973 Ph: (781) 954-5239 | Anthony Annunziata 36 Woburn Street Ste Ll#2 Reading MA 01867-2973 Ph: (781) 954-5239 |
NPI Number | 1699239152 |
---|---|
Provider Enumeration Date | 01/29/2019 |
Last Update Date | 09/05/2023 |
Certification Date | 09/05/2023 |
Medicare PECOS PAC ID | 0345581120 |
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Medicare Enrollment ID | O20190403002664 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699239152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Anthony Annunziata |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134520547 PECOS PAC ID: 1254672033 Enrollment ID: I20190403002787 |
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