MEDICARE: ANTRICE HRONEK PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY0948	NV

General Provider Information

NPI Number	:	1518341163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTRICE HRONEK PSYD

Provider Business Mailing Address
First Line	:	7150 POLLOCK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4417
Country	:	US
Telephone Number	:	702-486-6435
Fax Number	:	702-486-5855

Provider Business Practice Location Address
First Line	:	7150 POLLOCK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4417
Country	:	US
Telephone Number	:	702-486-6435
Fax Number	:	702-486-5855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	06/15/2026

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Directions to “ ANTRICE HRONEK PSYD” Practice Location

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