Individual
DR. MICHAEL THOMAS ANTON
Active
Individual
DR. MICHAEL THOMAS ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3681371
—
TN
01
—
4182427
BCBS
TN
01
—
700007375
RAILROAD MEDICARE
TN
Enumeration date
09/15/2006
Last updated
07/21/2022
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