Individual
ANTHONY J FALLICA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
239 4TH AVE, SUITE 1709, PITTSBURGH, PA 15222-1706
(412) 281-8068
Mailing address
239 4TH AVE, SUITE 1709, PITTSBURGH, PA 15222-1706
(412) 281-8068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002698L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933730
—
PA
01
—
024701
HIGHMARK BC BS
PA
01
—
P00064854
RAILROAD MEDICARE
PA
Enumeration date
05/25/2006
Last updated
07/08/2007
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