Individual
DR. ANTOLIN M LLORENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
03839
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401709900
—
MD
Enumeration date
11/08/2006
Last updated
07/22/2013
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