Provider Demographics
NPI:1477640134
Name:FISCHETTO, ANTHONY JAMES (EDD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JAMES
Last Name:FISCHETTO
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 PHILADELPHIA AVE
Mailing Address - Street 2:PO BOX 66
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-2734
Mailing Address - Country:US
Mailing Address - Phone:610-777-3306
Mailing Address - Fax:610-777-9494
Practice Address - Street 1:475 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-2734
Practice Address - Country:US
Practice Address - Phone:610-777-3306
Practice Address - Fax:610-777-9494
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005976L103T00000X
FLPY6665103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist