Individual
ANGELO J FIORDIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
40 V TWIN DR, STE 202, GETTYSBURG, PA 17325-1926
(717) 339-2710
(717) 339-2711
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 339-2710
(717) 339-2711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS006503L
PA
103TC0700X
Clinical Psychologist
Primary
PS006503L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975828
BLUE SHIELD
PA
Enumeration date
12/06/2005
Last updated
06/13/2016
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