Anthony Gerard Bostaph M.A.

NPI 1093805418 - Psychologist - 103T00000X

NPI Details
NPI 1093805418
Gender Male
Enumeration Date 10/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4402 PEACH ST
LOWER LEVEL/ NORTH
ERIE PA, 16509-1358, US
Phone (814) 868-0141
Fax (814) 868-0142
Business Location
4402 PEACH ST
LOWER LEVEL/ NORTH
ERIE PA, 16509-1358, US
Phone (814) 868-0141
Fax (814) 868-0142
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number PS007937L
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According to our database, Anthony Gerard Bostaph M.A. NPI is 1093805418, taxonomy code is 103T00000X and license number is PS007937L, license state is located at Pennsylvania. Anthony Gerard Bostaph M.A. physically located at 4402 Peach St, Erie PA, 16509-1358. NPI Number Anthony Gerard Bostaph M.A. has the Individual type.

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1093805418 NPI number is provided on an as is basis without warranty of any kind. 1093805418 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Gerard Bostaph M.A. are for informational purposes only.