Doctor Name: | EMILY R. ANASTASIO |
NPI Number: | 1730479874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 003093 |
Business Practice Address: | 203 United Way Frederic, WI - 548378938 |
Business Phone Number: | 7153274402 |
Business Fax Number: | 7153274470 |
Mailing Address: | 203 United Way, FREDERIC |
State: | WI |
Postal Code: | 548378938 |
Phone Number: | 7153274402 |
Fax Number: | 7153274470 |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 003093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |