Individual
MR. ANTONINO AGOSTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 315A, ROCHESTER, MI 48307-1871
(248) 413-5027
(248) 412-5048
Mailing address
1135 W UNIVERSITY DR, SUITE 315A, ROCHESTER, MI 48307-1871
(248) 413-5027
(248) 412-5048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015487
MI
Other
Enumeration date
02/12/2008
Last updated
01/21/2021
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