Provider Demographics
NPI:1194002691
Name:FORTE, ANTHONY FRANCIS (MS)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:FRANCIS
Last Name:FORTE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:ANTHONY
Other - Middle Name:FRANCIS
Other - Last Name:FORTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:4266 SALMON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19137-1519
Mailing Address - Country:US
Mailing Address - Phone:215-831-4600
Mailing Address - Fax:215-831-7917
Practice Address - Street 1:4266 SALMON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19137-1519
Practice Address - Country:US
Practice Address - Phone:215-831-6958
Practice Address - Fax:215-831-7917
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional