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NPI Code Detail

MEDICARE: DR. SALVATORE J PRESTI PHD

MEDICARE:  DR. SALVATORE J PRESTI  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS004715LPA

General Provider Information

NPI Number : 1982857082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE J PRESTI PHD
Provider Business Mailing Address
First Line : 1409 LOMBARD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1656
Country : US
Telephone Number : 215-875-2187
Fax Number : 215-545-0828
Provider Business Practice Location Address
First Line : 1417 W OREGON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-4926
Country : US
Telephone Number : 215-334-1311
Fax Number : 215-334-4512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2008
Last Update Date : 11/03/2008

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Directions to “ DR. SALVATORE J PRESTI PHD” Practice Location

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