DR. Thomas Deantonio, PH.D.

NPI #1194845198 in Hailey, Idaho

Provider Information

NPI Number: 1194845198
Entity Type: Individual
Name: DR. Thomas Deantonio, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Mar 31, 2007
Last Updated: Nov 2, 2022

Practice Location

Address: 1361 BLUFF DR
City: Hailey
State: Idaho
ZIP Code: 83333-8895
Phone: (818) 399-7384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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