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Individual
DR. MICHELE R DEANTONI
Active
Individual
DR. MICHELE R DEANTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY20103
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY20103
CA
103TC0700X
Clinical Psychologist
Primary
PSY20103
CA
103TC1900X
Counseling Psychologist
PSY20103
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY20103
CA
103TF0000X
Family Psychologist
PSY20103
CA
103TF0200X
Forensic Psychologist
PSY20103
CA
103TH0004X
Health Psychologist
PSY20103
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY20103
CA
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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