Individual
DR. MICHAEL J D'ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
171 W LANCASTER AVE, STE 3, PAOLI, PA 19301-1775
(610) 889-0419
(610) 889-1537
Mailing address
2145 DARBY CREEK RD, HAVERTOWN, PA 19083-1718
(610) 889-0419
(610) 889-1537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002142L
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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