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NPI Code Detail

MEDICARE: AMELIA ANTHONY PH.D.

MEDICARE:   AMELIA  ANTHONY  PH.D.
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
1103TC0700XClinical Psychologist202169AR
2103TC0700XClinical Psychologist24288TX

General Provider Information

NPI Number : 1306855036
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA ANTHONY PH.D.
Provider Business Mailing Address
First Line : 901 S RAINBOW RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-1637
Country : US
Telephone Number : 479-254-1144
Fax Number :
Provider Business Practice Location Address
First Line : 901 S RAINBOW RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-1637
Country : US
Telephone Number : 479-254-1144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/01/2022

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Directions to “ AMELIA ANTHONY PH.D.” Practice Location

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