Healthcare Provider Details

I. General information

NPI: 1023943644
Provider Name (Legal Business Name): ANTRICE HRONEK PSYD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 FIRE MESA ST STE 130
LAS VEGAS NV
89128-9024
US

IV. Provider business mailing address

2410 FIRE MESA ST STE 130
LAS VEGAS NV
89128-9024
US

V. Phone/Fax

Practice location:
  • Phone: 702-483-1383
  • Fax:
Mailing address:
  • Phone: 702-483-1383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ANTRICE HRONEK
Title or Position: LICENSED PSYCHOLOGIST
Credential:
Phone: 646-662-3464