THOMAS DEANTONIO

HAILEY, ID
NPI1194845198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY14726)
Enumeration Date2007-03-31
Last Update Date2022-11-02
Business Address
Dr. THOMAS DEANTONIO Ph.D.
1361 BLUFF DR
HAILEY, ID 83333-8895
Phone number: 818-399-7384
Mailing Address
Dr. THOMAS DEANTONIO Ph.D.
820 S MAIN ST UNIT 3671
HAILEY, ID 83333-6339
Phone number: 818-399-7384