NPI 1568692739 · live from the CMS NPI Registry
Annamaria Anthony, PhD
Psychologist in Brookings, OR. National Provider Identifier 1568692739, active.
NPI record
| NPI | 1568692739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 603 Hemlock St, Ste 2e, Brookings, OR 97415 |
| Practice phone | 541-469-4347 |
| Mailing address | Po Box 1500, Pmb 226, Brookings, OR 97415 |
| Enumerated | July 21, 2009 |
| Last updated | September 20, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 3044 (OR) |
| Psychologist primary | 103T00000X | 19998 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.