Individual
MR. ANTHONY A CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2117 BROADWAY DR, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Mailing address
2117 BROADWAY DR, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
41680
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125145
—
MS
01
—
680014983
MEDICARE RAILROAD
MS
Enumeration date
06/15/2006
Last updated
04/10/2025
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