Provider Demographics
NPI:1255549366
Name:D'ANTON, MICHAEL ARCHANGEL SR (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARCHANGEL
Last Name:D'ANTON
Suffix:SR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2742
Mailing Address - Country:US
Mailing Address - Phone:973-983-9077
Mailing Address - Fax:973-983-9088
Practice Address - Street 1:40 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2742
Practice Address - Country:US
Practice Address - Phone:973-983-9077
Practice Address - Fax:973-983-9088
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00186700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist