NPI 1194845198

Thomas Deantonio, PHD

Practitioner Psychologist Hailey, ID

Practice location

Address: 1361 Bluff Dr, Hailey, ID 83333-8895
Phone: (818) 399-7384
Mailing address: 820 S Main St Unit 3671, Hailey, ID 83333-6339

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY14726 (CA)

Other Psychologist providers in Idaho →

Registry record

NPI: 1194845198
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2007
Record last updated: 2 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.