MEDICARE: DR. ANTONIO ALEXANDRE GONCALVES 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
1	103T00000X	Psychologist	PS015082	PA
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist
3	103TC0700X	Clinical Psychologist	PS015082	PA

General Provider Information

NPI Number	:	1417093188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO ALEXANDRE GONCALVES PH.D.

Provider Business Mailing Address
First Line	:	114 CROCKETT RD
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-3014
Country	:	US
Telephone Number	:	610-337-7434
Fax Number	:	610-630-7806

Provider Business Practice Location Address
First Line	:	2093 PHILADELPHIA PIKE # 8624
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	610-819-4207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/13/2024

Similar Medicare Providers

1205062759 — DR. KARA HEPPERMANN MAYES M.D.
Practice Location Address:

2093 PHILADELPHIA PIKE # 4289
CLAYMONT, DE
19703-2424

Practice Phone: 866-933-3122
Practice Fax: 888-958-7819

1194954925 — TORAL SHAH DESAI MD
Practice Location Address:

2093 PHILADELPHIA PIKE # 4289
CLAYMONT, DE
19703-2424

Practice Phone: 201-308-3903
Practice Fax: 888-958-7819

1194199331 — MEGAN KENNY APRN
Practice Location Address:

2093 PHILADELPHIA PIKE # 9898
CLAYMONT, DE
19703-2424

Practice Phone: 415-651-3458
Practice Fax: 630-646-6542

1770346405 — FRANCISCO JAVIER RODRIGUEZ
Practice Location Address:

2093 PHILADELPHIA PIKE # 9173
CLAYMONT, DE
19703-2424

Practice Phone: 800-939-3410
Practice Fax:

1659109064 — DR. JAAN LI PHD
Practice Location Address:

2093 PHILADELPHIA PIKE # 1764
CLAYMONT, DE
19703-2424

Practice Phone: 203-998-5538
Practice Fax:

1417824996 — CHRISTOPHER WILLIAM WEIGERT RN
Practice Location Address:

2093 PHILADELPHIA PIKE # 7030
CLAYMONT, DE
19703-2424

Practice Phone: 844-898-2549
Practice Fax:

Directions to “ DR. ANTONIO ALEXANDRE GONCALVES PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.