Individual
DR. JOSEPH ANTHONY D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
236 RIVER OAK DR, EATONTON, GA 31024-7201
(706) 485-7659
Mailing address
236 RIVER OAK DR, EATONTON, GA 31024-7201
(706) 485-7659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 001741
GA
103TC0700X
Clinical Psychologist
PY 004738
FL
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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