Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 5676 | OH |
N | 103T00000X | Psychologist | 5676 | OH |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | B1-0001104 | DE |
NPI | 1134138662 |
---|---|
Provider Name | Anthony R Alioto |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 13/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103443697 | (05) | PA |
2263447 | (05) | OH |