Individual
MR. ANTONIO SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
550 PINETOWN RD, SUITE 350, FORT WASHINGTON, PA 19034-2605
(215) 643-0200
Mailing address
550 PINETOWN RD, SUITE 350, FORT WASHINGTON, PA 19034-2605
(215) 643-0200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001911
PA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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