David A Dicicco is a Clinical in San Diego, California. David A Dicicco practices all healthcare services and medical treatments related to Clinical. The NPI Number for David A Dicicco is 1669467015. The last update date is 2007-07-08.
David A Dicicco's current location address is 5190 Governor Dr, San Diego, California. You can contact this provider via phone number 8585461211 and fax number 8585460411. The mailing address for David A Dicicco is 5190 Governor Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Dicicco |
|---|---|
| Address | 5190 Governor Dr, San Diego, California |
| Phone Number | 8585461211 |
| Fax Number | 8585460411 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1669467015 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5190 Governor Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921222847 |
| Phone Number | 8585461211 |
| Fax Number | 8585460411 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY5667 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY056670 | CA | -- |
Post Comment/ Review Below
What is the David A Dicicco's 1669467015?
The David A Dicicco's NPI (National Provider Identifier) Number is 1669467015. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where David A Dicicco is geographically located?
The David A Dicicco is physically situated at the following location: 5190 Governor Dr, San Diego, CA, 921222847.
What is the area of specialization for David A Dicicco, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David A Dicicco is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did David A Dicicco receive its 1669467015 assignment?
The David A Dicicco was assigned its 1669467015 on 2005-09-13, which is the date when this unique identifier was issued to the organization.
When was the information related to David A Dicicco most recently updated or refreshed?
The details pertaining to the David A Dicicco, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.