Individual
DR. ANTHONY MENDITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2623
(573) 592-3001
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2623
(573) 592-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05129
MO
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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