| Doctor Name: | DR. PHILIP ANTHONY NASTASEE |
| NPI Number: | 1174951883 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PS003005-L |
| Business Practice Address: | 216 N 4th St Emmaus, PA - 180492718 |
| Business Phone Number: | 6109665131 |
| Business Fax Number: | 6104218251 |
| Mailing Address: | 216 N 4th St, EMMAUS |
| State: | PA |
| Postal Code: | 180492718 |
| Phone Number: | 6109665131 |
| Fax Number: | 6104218251 |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PS003005-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |