Provider Demographics
NPI:1609854686
Name:JOSEPH, ANTONY R (AUD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:R
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:AUD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 482 BOX 109
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-0199
Mailing Address - Country:US
Mailing Address - Phone:01181611-743-7806
Mailing Address - Fax:01181611-743-7811
Practice Address - Street 1:PSC 482 BOX 1600
Practice Address - Street 2:DCH AUDIOLOGY CLINIC
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96362-0199
Practice Address - Country:US
Practice Address - Phone:01181611-743-7806
Practice Address - Fax:01181611-743-7811
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00117231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist