Individual
MR. ANTHONY VICTOR DESERPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
315 SUMMER ST, EAST BRIDGEWATER, MA 02333-1053
(508) 580-4154
Mailing address
315 SUMMER ST, EAST BRIDGEWATER, MA 02333-1053
(508) 580-4154
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
162
MA
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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