Provider Demographics
NPI:1265663397
Name:QUAGLIERI, ANTHONY (PHD, LMHC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:QUAGLIERI
Suffix:
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 W PLATT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2116
Mailing Address - Country:US
Mailing Address - Phone:813-258-4252
Mailing Address - Fax:
Practice Address - Street 1:1006 W PLATT ST
Practice Address - Street 2:#401
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2116
Practice Address - Country:US
Practice Address - Phone:813-258-4252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health