Individual
DR. ANTHONY F. VERDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
420C FITZWATER ST, PHILADELPHIA, PA 19147-3109
(215) 592-0415
(215) 440-7774
Mailing address
420C FITZWATER ST, PHILADELPHIA, PA 19147-3109
(215) 592-0415
(215) 440-7774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005080L
PA
103TC0700X
Clinical Psychologist
PS005080-L
PA
103TC0700X
Clinical Psychologist
PS005080L
PA
103TC1900X
Counseling Psychologist
PS005080L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518813WLL
MEDICARE GROUP MEMBER PTAN
PA
01
—
600412967
MAGELLAN BEHAVIORAL HEALTH
PA
Enumeration date
10/31/2007
Last updated
12/12/2018
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