Individual
DR. ANTHONY ANNUNZIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 S HUNTINGTON AVE, MAILBOX: 116B-4, BOSTON, MA 02130
(857) 364-4298
Mailing address
150 S HUNTINGTON AVE, MAILBOX: 116B-4, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10372
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2014
Last updated
07/12/2018
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