Individual
DR. ANTONIO ALEXANDRE GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2093 PHILADELPHIA PIKE # 8624, CLAYMONT, DE 19703-2424
(610) 819-4207
Mailing address
114 CROCKETT RD, KING OF PRUSSIA, PA 19406-3014
(610) 337-7434
(610) 630-7806
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS015082
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS015082
PA
Other
Enumeration date
01/30/2007
Last updated
08/13/2024
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