Individual
DR. ANTHONY M. DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSE PSYCHOLOGIST
Contact information
Practice address
309 FELLOWSHIP RD STE 200, MOUNT LAUREL, NJ 08054-1234
(609) 232-2894
Mailing address
1817 MT. HOLLY RD, STE C7 #109, BURLINGTON, NJ 08016
(609) 232-2894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
35SI00768000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
08/03/2016
Last updated
07/17/2026
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