Individual
MR. ANTHONY J ZONGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., DABPS
Contact information
Practice address
10125 VERREE RD, SUITE #102, PHILADELPHIA, PA 19116-3611
(215) 332-1914
(215) 332-1873
Mailing address
10125 VERREE RD, SUITE #102, PHILADELPHIA, PA 19116-3611
(215) 327-1335
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS 004983-L
PA
103TC0700X
Clinical Psychologist
PS 004983-L
PA
Other
Enumeration date
09/25/2006
Last updated
03/16/2016
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