Individual
ANTHONY C. TZOUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2201 RIDGEWOOD ROAD, SUITE 400, WYOMISSING, PA 19610-6977
(610) 378-9601
(610) 378-3610
Mailing address
2201 RIDGEWOOD ROAD, SUITE 400, WYOMISSING, PA 19610-6977
(610) 378-9601
(610) 378-3610
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS015292
PA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
PS015292
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS015292
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS015292
PA
Other
Enumeration date
10/02/2006
Last updated
02/04/2011
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