Individual
ANTHONY GERARD BOSTAPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
4402 PEACH ST, LOWER LEVEL/ NORTH, ERIE, PA 16509-1358
(814) 868-0141
(814) 868-0142
Mailing address
4402 PEACH ST, LOWER LEVEL/ NORTH, ERIE, PA 16509-1358
(814) 868-0141
(814) 868-0142
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007937L
PA
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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