Provider Demographics
NPI:1790883676
Name:DI FRANCESCO, ANTHONY R (PHD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:R
Last Name:DI FRANCESCO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX F
Mailing Address - Street 2:
Mailing Address - City:OCCOQUAN
Mailing Address - State:VA
Mailing Address - Zip Code:22125-0136
Mailing Address - Country:US
Mailing Address - Phone:703-491-9701
Mailing Address - Fax:571-572-3838
Practice Address - Street 1:214 B COMMERCE ST
Practice Address - Street 2:
Practice Address - City:OCCOQUAN
Practice Address - State:VA
Practice Address - Zip Code:22125
Practice Address - Country:US
Practice Address - Phone:703-491-9701
Practice Address - Fax:571-572-3838
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001576103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S36735Medicare UPIN
VAQ42524C216Medicare PIN