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NPI 1376729616

IndividualActive

Anthony Menditto, PH.D.

NPI 1376729616 · Psychologist · Fulton, MO

Provider details

NPI number: 1376729616
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: No
License: 05129 (MO)

Practice location

600 E 5th St

Fulton, MO 65251-1753

Phone: (573) 592-2623

Fax: (573) 592-3001

More MO providers

Mailing address

600 E 5th St

Fulton, MO 65251-1753

Registry dates

Enumerated: 2008-01-17
Last updated: 2008-01-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anthony Menditto, PH.D. — NPI 1376729616, Fulton, MO | NPI Central